| NPI | 1316464225 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL APRN9355487) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 1074372) |
| 363L00000X Nurse Practitioner (Licence: FL APRN9355487) | |
| Enumeration Date | 2017-08-23 |
| Last Update Date | 2024-01-19 |