NPI | 1831922335 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IA C180721) |
Additional Taxonomies | 363LP0222X Nurse Practitioner Pediatrics, Critical Care (Licence: IA C18072) |
Enumeration Date | 2024-08-21 |
Last Update Date | 2024-08-21 |