NPI | 1265888911 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL ARNP9443202) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: SC 20171) |
363LP0200X Nurse Practitioner, Pediatrics (Licence: FL ARNP9443202) | |
Enumeration Date | 2016-05-12 |
Last Update Date | 2024-05-08 |