NPI | 1831861541 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OR 10015135) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OR 10015135) |
Enumeration Date | 2021-09-30 |
Last Update Date | 2025-04-14 |