NPI | 1902115165 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL APRN9214698) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL ARNP9214698) |
Enumeration Date | 2010-10-05 |
Last Update Date | 2021-03-10 |