NPI | 1699296558 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: VA 0024174998) |
Additional Taxonomies | 208800000X Urology (Licence: VA 0024174998) |
Enumeration Date | 2017-06-30 |
Last Update Date | 2023-08-10 |