| NPI | 1154917482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL APRN11010411) |
| Additional Taxonomies | 163WP0218X Registered Nurse, Pediatric Oncology (Licence: FL RN9535508) |
| Enumeration Date | 2020-12-21 |
| Last Update Date | 2022-03-02 |