| NPI | 1164066791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL APRN11007647) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA RN231866) |
| Enumeration Date | 2019-11-06 |
| Last Update Date | 2022-11-16 |