NPI | 1689004905 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL APRN9330396) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9330396) |
363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 95010423) | |
Enumeration Date | 2013-11-22 |
Last Update Date | 2022-10-10 |