NPI | 1487230843 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 95016028) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY 383115) |
Enumeration Date | 2021-03-24 |
Last Update Date | 2022-03-07 |