NPI | 1922583525 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL APRN9368953) |
Additional Taxonomies | 208000000X Pediatrics (Licence: FL ARNP9368953) |
Enumeration Date | 2018-09-28 |
Last Update Date | 2018-10-09 |