NPI | 1558637009 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NC 5020342) |
Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: MA RN2270015) |
363LP2300X Nurse Practitioner, Primary Care (Licence: FL APRN9416624) | |
363LP0200X Nurse Practitioner, Pediatrics (Licence: MA RN2270015) | |
Enumeration Date | 2012-03-29 |
Last Update Date | 2024-06-30 |