NPI | 1861123937 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: CA 95020956) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95020956) |
Enumeration Date | 2022-06-21 |
Last Update Date | 2023-09-06 |