| NPI | 1053575829 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL APRN11017209) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN11017209) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY 382654) | |
| Enumeration Date | 2008-07-10 |
| Last Update Date | 2023-11-27 |