NPI | 1891285854 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: AZ AP11360) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: AZ RN109394) |
Enumeration Date | 2018-05-15 |
Last Update Date | 2019-02-02 |