NPI | 1609913615 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IN 71001283A) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71001283A) |
Enumeration Date | 2007-01-31 |
Last Update Date | 2022-05-25 |