NPI | 1780960989 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9223587) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL 9223587) |
Enumeration Date | 2011-11-01 |
Last Update Date | 2022-04-05 |