| NPI | 1083824536 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL APRN2107252) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: FL APRN2107252) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2022-12-01 |