NPI | 1790895506 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: HI APRN724) |
Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: HI APRN-724) |
Enumeration Date | 2006-08-30 |
Last Update Date | 2021-06-04 |