NPI | 1487887998 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CO APN.0990534-NP) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 723002) |
Enumeration Date | 2009-08-31 |
Last Update Date | 2022-08-09 |