| NPI | 1093235368 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL APRN11030719) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN11030719) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: KS 53-77809-062) | |
| Enumeration Date | 2017-06-27 |
| Last Update Date | 2024-05-23 |