NPI | 1700909389 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL ARNP9380555) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IA C056595) |
Enumeration Date | 2007-04-09 |
Last Update Date | 2023-03-07 |