| NPI | 1316266448 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL ARNP9235496) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9235496) |
| Enumeration Date | 2010-05-28 |
| Last Update Date | 2022-03-18 |