| NPI | 1265459879 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP 3301592) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: FL ARNP 3301592) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2016-02-15 |