NPI | 1982845483 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 1087542) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2019044430) |
2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: MO 2019044430) | |
Enumeration Date | 2009-03-12 |
Last Update Date | 2023-03-29 |