NPI | 1669149548 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: PA SP023468) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP023468) |
Enumeration Date | 2021-08-27 |
Last Update Date | 2022-04-15 |