NPI | 1831887975 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OR 10013171) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 201506413RN) |
Enumeration Date | 2023-04-26 |
Last Update Date | 2025-08-11 |