| NPI | 1477902492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: FL ARNP9406906) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL 9406906) |
| Enumeration Date | 2016-06-09 |
| Last Update Date | 2024-03-06 |