| NPI | 1013904002 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TN APN0000015491) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP3268662) |
| Enumeration Date | 2005-10-04 |
| Last Update Date | 2022-03-17 |