| NPI | 1326454240 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL APRN9493805) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA SP013848) |
| Enumeration Date | 2014-07-11 |
| Last Update Date | 2020-06-01 |