| NPI | 1225516529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9336118) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN9336118) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL APRN9336118) | |
| Enumeration Date | 2018-07-30 |
| Last Update Date | 2024-01-19 |