NPI | 1962471706 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL ARNP3299492) |
Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: FL APRN3299492) |
363L00000X Nurse Practitioner (Licence: FL ARNP3299492) | |
Enumeration Date | 2006-03-15 |
Last Update Date | 2024-06-17 |