| NPI | 1427876770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL 11035293) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9663885) |
| Enumeration Date | 2024-09-26 |
| Last Update Date | 2024-09-26 |