| NPI | 1417281924 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL APRN2981982) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN2981982) |
| Enumeration Date | 2009-09-30 |
| Last Update Date | 2024-07-16 |