NPI | 1821737131 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MO 2021050735) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: KS 80953) |
Enumeration Date | 2022-06-03 |
Last Update Date | 2022-06-03 |