| NPI | 1285913954 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9249993) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL 9249993) |
| 363L00000X Nurse Practitioner (Licence: TN 0000018822) | |
| Enumeration Date | 2011-08-11 |
| Last Update Date | 2022-08-15 |