| NPI | 1356198451 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: AZ 306825) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL RN9462808) |
| Enumeration Date | 2024-05-06 |
| Last Update Date | 2024-07-31 |