NPI | 1710457684 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9191806) |
Additional Taxonomies | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: FL APRN9191806) |
Enumeration Date | 2018-12-04 |
Last Update Date | 2020-01-17 |