| NPI | 1467331157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL APRN11035078) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9309039) |
| 163WP0200X Registered Nurse, Pediatrics (Licence: FL RN9309039) | |
| Enumeration Date | 2025-08-28 |
| Last Update Date | 2025-08-28 |