| NPI | 1124573811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL ARNP9438846) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: SC 21604) |
| Enumeration Date | 2016-08-23 |
| Last Update Date | 2018-03-17 |