| NPI | 1053816272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL APRN11004232) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN11004232) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11004232) | |
| Enumeration Date | 2018-03-28 |
| Last Update Date | 2023-11-15 |