NPI | 1962834101 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SD CP000801) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: SD CP000801) |
Enumeration Date | 2013-07-30 |
Last Update Date | 2018-08-27 |