NPI | 1932856606 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL APRN11026551) |
Additional Taxonomies | 208000000X Pediatrics (Licence: GA RN245083) |
Enumeration Date | 2022-03-03 |
Last Update Date | 2025-01-10 |