NPI | 1619403003 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WA AP60755774) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OK R0136475) |
Enumeration Date | 2017-05-04 |
Last Update Date | 2023-04-26 |