| NPI | 1417251562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL APRN9202364) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9202364) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL 9202364) | |
| Enumeration Date | 2011-01-04 |
| Last Update Date | 2024-08-16 |