| NPI | 1063161230 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL APRN11018397) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN11018397) |
| Enumeration Date | 2022-03-23 |
| Last Update Date | 2025-10-01 |