| NPI | 1407455017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL APRN11011710) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IA C160938) |
| 363L00000X Nurse Practitioner (Licence: FL APRN11011710) | |
| Enumeration Date | 2020-10-23 |
| Last Update Date | 2026-01-22 |