| NPI | 1083352207 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL APRN1019798) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN11019798) |
| Enumeration Date | 2022-05-26 |
| Last Update Date | 2025-05-07 |