NPI | 1831850569 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL APRN11018047) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL RN9350209) |
Enumeration Date | 2022-01-05 |
Last Update Date | 2022-02-16 |