| NPI | 1003466459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: FL APRN11003933) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: FL APRN11003933) |
| Enumeration Date | 2019-09-18 |
| Last Update Date | 2024-04-26 |