NPI | 1871330134 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: SC 202415702) |
Additional Taxonomies | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: GA GAA-NP002412) |
Enumeration Date | 2024-07-12 |
Last Update Date | 2024-11-14 |