NPI | 1598545816 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NC 5018939) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NC HUEY-G1RP3) |
Enumeration Date | 2023-10-03 |
Last Update Date | 2023-10-05 |