NPI | 1669526026 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TN 16383) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: AL 3261) |
363LP0200X Nurse Practitioner, Pediatrics (Licence: AL 1-128900) | |
Enumeration Date | 2007-01-23 |
Last Update Date | 2023-02-15 |