| NPI | 1316769540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL APRN11035911) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11035911) |
| Enumeration Date | 2024-10-29 |
| Last Update Date | 2025-03-17 |