NPI | 1679311559 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IL 209032781) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IN 71015502A) |
Enumeration Date | 2024-07-16 |
Last Update Date | 2025-09-30 |