NPI | 1932875473 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: LA 219487) |
Additional Taxonomies | 163WP0200X Registered Nurse Pediatrics (Licence: LA RN145093) |
Enumeration Date | 2021-08-16 |
Last Update Date | 2021-08-16 |