NPI | 1679745517 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL ARNP9281079) |
Additional Taxonomies | 364SP0200X Clinical Nurse Specialist, Pediatrics (Licence: FL ARNP9281079) |
364SP0200X Clinical Nurse Specialist, Pediatrics (Licence: PA SP009729) | |
Enumeration Date | 2008-04-01 |
Last Update Date | 2018-01-25 |