NPI | 1669622932 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IN 71002736A) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71002736A) |
Enumeration Date | 2008-09-24 |
Last Update Date | 2022-11-01 |