NPI | 1891879896 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: VA 0024073357) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0024073357) |
Enumeration Date | 2006-10-25 |
Last Update Date | 2021-07-29 |