| NPI | 1053417279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL ARNP1871842) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL AN-187184C) |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2011-11-22 |