NPI | 1558073197 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NC 5017356) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5017356) |
Enumeration Date | 2022-12-14 |
Last Update Date | 2024-08-02 |