| NPI | 1013744515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL APRN11035180) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: GA GAA-NP002812) |
| Enumeration Date | 2024-09-18 |
| Last Update Date | 2024-11-06 |