| NPI | 1205942042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL APRN9236906) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN9236906) |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2023-11-07 |