| NPI | 1154636736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL APRN11007871) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 22 629523) |
| 163W00000X Registered Nurse (Licence: CA RN95029308) | |
| 363L00000X Nurse Practitioner (Licence: FL APRN11007871) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA NP95000587) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY 382286) | |
| Enumeration Date | 2010-08-08 |
| Last Update Date | 2023-12-21 |