| NPI | 1255438818 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: FL ARNP9322046) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9322046) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL ARNP9322046) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 608590) | |
| 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: TX 608590) | |
| Enumeration Date | 2006-09-17 |
| Last Update Date | 2014-03-10 |