NPI | 1801658489 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WI 14292-33) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 14292) |
363LF0000X Nurse Practitioner, Family (Licence: IL 209.026771) | |
363LF0000X Nurse Practitioner, Family (Licence: WI 14292) | |
Enumeration Date | 2024-01-29 |
Last Update Date | 2025-07-10 |