NPI | 1831533553 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 95015720) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: LA AP06244) |
Enumeration Date | 2013-04-24 |
Last Update Date | 2024-01-10 |