| NPI | 1346478864 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0222X Nurse Practitioner Pediatrics, Critical Care (Licence: FL ARNP9220275) |
| Additional Taxonomies | 163WP0200X Registered Nurse Pediatrics (Licence: FL RN9220275) |
| Enumeration Date | 2009-06-23 |
| Last Update Date | 2009-10-09 |