NPI | 1942504634 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TN 27606) |
Additional Taxonomies | 208000000X Pediatrics (Licence: PA SP010909) |
363LP0200X Nurse Practitioner, Pediatrics (Licence: GA RN247655) | |
Enumeration Date | 2011-01-10 |
Last Update Date | 2022-03-16 |