NPI | 1932392305 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NE 110882) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 688581) |
Enumeration Date | 2007-08-20 |
Last Update Date | 2023-09-19 |