| NPI | 1194198481 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL APRN9319093) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: FL ARNP 9319093) |
| Enumeration Date | 2015-11-09 |
| Last Update Date | 2019-03-15 |