NPI | 1639232747 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MD R070205) |
Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: MD R070205) |
Enumeration Date | 2006-12-19 |
Last Update Date | 2023-11-29 |