NPI | 1851450159 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CT 13966) |
Additional Taxonomies | 208000000X Pediatrics (Licence: TX 113086) |
363LP0200X Nurse Practitioner, Pediatrics (Licence: AZ AP5053) | |
Enumeration Date | 2006-12-06 |
Last Update Date | 2024-10-07 |