NPI | 1700181443 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TN 15597) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TN RN0000133509) |
Enumeration Date | 2011-01-11 |
Last Update Date | 2022-08-29 |