| NPI | 1053982710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: MD R201132) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: FL APRN11013697) |
| Enumeration Date | 2021-07-05 |
| Last Update Date | 2021-09-12 |