NPI | 1831496058 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 21642) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: AZ AP3950) |
Enumeration Date | 2011-02-24 |
Last Update Date | 2022-02-07 |