NPI | 1497268320 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NC 5010058) |
Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: NC 246271) |
Enumeration Date | 2017-11-14 |
Last Update Date | 2021-04-13 |