| NPI | 1477064186 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9278887) |
| Additional Taxonomies | 364SP0200X Clinical Nurse Specialist, Pediatrics (Licence: FL CNS9278887) |
| Enumeration Date | 2017-10-20 |
| Last Update Date | 2020-03-31 |