| NPI | 1205149556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: FL ARNP9335540) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA 194830) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL 9335540) | |
| 363LF0000X Nurse Practitioner, Family (Licence: SC 4277) | |
| Enumeration Date | 2010-07-15 |
| Last Update Date | 2023-10-09 |