| NPI | 1154420750 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL ARNP9190624) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP 9190624) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 7233) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 7233) | |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2013-01-04 |