| NPI | 1033744719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL APRN11022862) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9434141) |
| 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: FL APRN11022862) | |
| Enumeration Date | 2020-03-03 |
| Last Update Date | 2023-09-21 |