| NPI | 1154380236 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN1886062) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL APRN1886062) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL ARNP1886062) | |
| Enumeration Date | 2006-03-19 |
| Last Update Date | 2022-11-21 |