| NPI | 1225663180 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL APRN11006558) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TN 39556) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: DC NP500025046) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: NC 5022299) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY 383820) | |
| Enumeration Date | 2020-03-11 |
| Last Update Date | 2025-08-28 |