NPI | 1811148166 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: KY 3005793) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: KY 3005793) |
Enumeration Date | 2008-10-06 |
Last Update Date | 2020-10-26 |