NPI | 1487408415 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: TN 36113) |
Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: VA 0024189907) |
Enumeration Date | 2024-04-16 |
Last Update Date | 2024-05-22 |