| NPI | 1376761486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL APRN9272409) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: SC 2674) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2018-10-30 |