NPI | 1841432283 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080A0000X Pediatrics Adolescent Medicine (Licence: FL ARNP2630702) |
Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: FL ARNP2630702) |
Enumeration Date | 2009-03-31 |
Last Update Date | 2024-02-16 |