| NPI | 1285220186 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11006827) |
| Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: FL APRN11006827) |
| Enumeration Date | 2020-12-15 |
| Last Update Date | 2022-12-29 |