| NPI | 1316359466 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP9279797) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL ARNP9279797) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: FL ARNP9279797) | |
| Enumeration Date | 2014-05-23 |
| Last Update Date | 2014-08-14 |