NPI | 1831348564 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5016596) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9205431) |
363LP0200X Nurse Practitioner, Pediatrics (Licence: FL ARNP9205431) | |
Enumeration Date | 2008-09-18 |
Last Update Date | 2022-10-28 |