| NPI | 1083171144 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL APRN11038252) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 95011264) |
| 163W00000X Registered Nurse (Licence: CA 95168487) | |
| Enumeration Date | 2019-02-25 |
| Last Update Date | 2025-12-18 |