| NPI | 1285064816 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9371516) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: FL APRN9371516) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL arnp9371516) | |
| Enumeration Date | 2013-11-18 |
| Last Update Date | 2024-05-17 |