NPI | 1598299315 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: KY 3014747) |
Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: CT 129605) |
363LP0200X Nurse Practitioner, Pediatrics (Licence: WA AP60774886) | |
Enumeration Date | 2017-04-18 |
Last Update Date | 2023-03-15 |