NPI | 1710006481 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: LA AP04664) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MS R887980) |
Enumeration Date | 2007-03-27 |
Last Update Date | 2024-11-16 |