NPI | 1629155841 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: LA AP06002) |
Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: LA RN128025) |
208000000X Pediatrics (Licence: MS R862193) | |
Enumeration Date | 2006-11-01 |
Last Update Date | 2020-12-09 |