NPI | 1588803886 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL APRN9432443) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9432443) |
363LP0200X Nurse Practitioner, Pediatrics (Licence: MI 363LP0200X) | |
Enumeration Date | 2009-02-10 |
Last Update Date | 2022-11-10 |