NPI | 1912615360 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NC 5017229) |
Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: NC 239900) |
Enumeration Date | 2022-11-14 |
Last Update Date | 2023-01-12 |