NPI | 1568400695 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: SC 20895) |
Additional Taxonomies | 208000000X Pediatrics (Licence: SC 20895) |
363L00000X Nurse Practitioner (Licence: NC 5001611) | |
363LP0200X Nurse Practitioner, Pediatrics (Licence: NC 38354) | |
Enumeration Date | 2006-06-02 |
Last Update Date | 2024-03-26 |