NPI | 1912215179 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP9391935) |
Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: NM CNP-O1664) |
363LP0200X Nurse Practitioner Pediatrics (Licence: FL ARNP9391935) | |
Enumeration Date | 2010-09-21 |
Last Update Date | 2017-01-11 |