| NPI | 1194041814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL APRN11002469) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9510923) |
| Enumeration Date | 2010-04-20 |
| Last Update Date | 2020-02-11 |