| NPI | 1083064364 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: TN 21225) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TN 21225) |
| 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: FL APRN11018760) | |
| Enumeration Date | 2016-06-16 |
| Last Update Date | 2024-06-14 |