NPI | 1538127600 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NC 201328) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 201328) |
Enumeration Date | 2006-05-01 |
Last Update Date | 2023-03-22 |