| NPI | 1164421764 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL ARNP2852822) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP2852822) |
| Enumeration Date | 2005-07-18 |
| Last Update Date | 2012-06-07 |