| NPI | 1376213215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL APRN11029330) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: FL RN9410116) |
| 163WP0218X Registered Nurse, Pediatric Oncology (Licence: FL RN9410116) | |
| 163W00000X Registered Nurse (Licence: FL RN9410116) | |
| Enumeration Date | 2021-09-13 |
| Last Update Date | 2024-04-05 |