| NPI | 1215589098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9405342) |
| Additional Taxonomies | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: FL APRN9405342) |
| Enumeration Date | 2019-07-12 |
| Last Update Date | 2019-07-12 |