| NPI | 1407590037 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL APRN11036253) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-184483) |
| Enumeration Date | 2022-04-20 |
| Last Update Date | 2024-12-16 |