NPI | 1538654561 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX AP1065839) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CO APN.0993805-NP) |
Enumeration Date | 2018-06-22 |
Last Update Date | 2024-09-05 |