NPI | 1689394918 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NC 5016813) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IL BACK-W2YUI) |
Enumeration Date | 2022-08-29 |
Last Update Date | 2024-10-03 |