| NPI | 1205285947 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: FL ARNP9356126) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL RN9356126) |
| Enumeration Date | 2016-06-03 |
| Last Update Date | 2018-06-25 |