| NPI | 1417015447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN3055982) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: FL APRN3055982) |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2023-07-05 |