NPI | 1881908556 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX AP143221) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CT 004406) |
363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 20674) | |
Enumeration Date | 2010-08-04 |
Last Update Date | 2023-10-09 |