| NPI | 1467875625 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL APRN11017073) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN11017073) |
| 363LF0000X Nurse Practitioner, Family (Licence: MS R880053) | |
| Enumeration Date | 2014-01-23 |
| Last Update Date | 2023-11-14 |