NPI | 1912472564 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TN 24978) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 225374) |
Enumeration Date | 2018-10-10 |
Last Update Date | 2018-10-10 |