| NPI | 1194005199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11012933) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL 11012933) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL APRN11012933) | |
| Enumeration Date | 2011-08-22 |
| Last Update Date | 2024-08-05 |