NPI | 1801388830 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL APRN11003542) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX AP137619) |
Enumeration Date | 2018-06-05 |
Last Update Date | 2019-11-27 |