NPI | 1992493852 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: AL 202325709) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-145437) |
Enumeration Date | 2023-04-28 |
Last Update Date | 2023-07-27 |