NPI | 1811153331 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL APRN11014207) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OK 102358) |
Enumeration Date | 2008-08-04 |
Last Update Date | 2023-08-04 |