NPI | 1801560131 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NC 5014680) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NC BRIC-AZ9A6) |
Enumeration Date | 2021-08-02 |
Last Update Date | 2021-09-30 |