| NPI | 1427211044 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL 1770922) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: FL 1770922) |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2015-12-07 |