NPI | 1730805557 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: VA 0024185295) |
Additional Taxonomies | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: VA 0024185295) |
363LP0200X Nurse Practitioner, Pediatrics (Licence: VA 0024185295) | |
Enumeration Date | 2022-10-13 |
Last Update Date | 2023-05-24 |