NPI | 1558995266 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NC CUDD-JHRWD) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: NC 5012958) |
Enumeration Date | 2020-03-03 |
Last Update Date | 2022-06-08 |