NPI | 1841955598 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WP0200X Registered Nurse, Pediatrics (Licence: AL 1-154412) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: AL 1-154412) |
Enumeration Date | 2021-11-07 |
Last Update Date | 2024-01-11 |