| NPI | 1053030650 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL APRN11021493) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: FL 9398587) |
| Enumeration Date | 2022-08-25 |
| Last Update Date | 2024-10-28 |