NPI | 1821756032 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL APRN11021949) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MD R251702) |
Enumeration Date | 2021-12-05 |
Last Update Date | 2023-12-07 |