NPI | 1568115236 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: FL 11008398) |
Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: FL 9170163) |
Enumeration Date | 2022-02-01 |
Last Update Date | 2022-02-01 |