| NPI | 1245951326 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL APRN11022043) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NM RN-82247) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: NM 64626) | |
| Enumeration Date | 2022-09-07 |
| Last Update Date | 2023-03-23 |