NPI | 1609455617 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WI 10870) |
Additional Taxonomies | 208000000X Pediatrics (Licence: WI 10870) |
Enumeration Date | 2021-04-06 |
Last Update Date | 2023-04-07 |