| NPI | 1376769562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL ARNP9216529) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WA AP60031358) |
| 363L00000X Nurse Practitioner (Licence: FL ARNP9216529) | |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2011-03-09 |