NPI | 1669084992 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: PA SP023032) |
Additional Taxonomies | 363LS0200X Nurse Practitioner, School (Licence: PA RN627523) |
Enumeration Date | 2020-08-18 |
Last Update Date | 2023-01-31 |