| NPI | 1043672827 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL ARNP9339338) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9339338) |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2017-02-20 |