| NPI | 1164500476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL ARNP9269394) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0024052901) |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2011-09-06 |