NPI | 1972825537 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ID 71285) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: UT 4938107-4405) |
363L00000X Nurse Practitioner (Licence: UT 4938107-8900) | |
363L00000X Nurse Practitioner (Licence: UT 4938107-4405) | |
363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 19447) | |
Enumeration Date | 2010-02-24 |
Last Update Date | 2022-04-11 |