| NPI | 1083968226 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: FL APRN9277140) |
| Additional Taxonomies | 364SP0200X Clinical Nurse Specialist Pediatrics (Licence: FL 9277140) |
| Enumeration Date | 2012-11-08 |
| Last Update Date | 2020-10-20 |