NPI | 1518682079 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL APRN11036614) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9315668) |
208000000X Pediatrics (Licence: FL 11036614) | |
2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: FL 11036614) | |
363L00000X Nurse Practitioner (Licence: FL 11036614) | |
Enumeration Date | 2022-10-06 |
Last Update Date | 2025-05-06 |