| NPI | 1023141959 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN2750252) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL AR2750252) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2021-09-28 |