| NPI | 1265750996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: FL ARNP9258235) |
| Additional Taxonomies | 163WP0200X Registered Nurse Pediatrics (Licence: FL ARNP9258235) |
| Enumeration Date | 2010-05-05 |
| Last Update Date | 2016-08-10 |