NPI | 1649418302 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: IN 71002842) |
Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: IN 28180418) |
Enumeration Date | 2009-02-03 |
Last Update Date | 2020-12-02 |