NPI | 1588808687 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: FL 9463502) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9463502) |
Enumeration Date | 2009-04-21 |
Last Update Date | 2024-04-17 |