NPI | 1548895105 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: AZ 273526) |
Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: AZ RN192494) |
Enumeration Date | 2020-03-04 |
Last Update Date | 2022-04-20 |