| NPI | 1043221575 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP-1542962) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL ARNP-1542962) |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2011-10-20 |