| NPI | 1467020495 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL APRN11013696) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: PA SP023957) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11013696) | |
| Enumeration Date | 2021-06-16 |
| Last Update Date | 2026-08-13 |