| NPI | 1265843692 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11004097) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL APRN11004097) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: IL 209010986) | |
| Enumeration Date | 2014-05-20 |
| Last Update Date | 2023-09-08 |