| NPI | 1023247970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: TN 16887) |
| Additional Taxonomies | 163WP0200X Registered Nurse Pediatrics (Licence: TN 146160) |
| 363LP0200X Nurse Practitioner Pediatrics (Licence: FL ARNP9294400) | |
| Enumeration Date | 2009-07-13 |
| Last Update Date | 2022-03-21 |