| NPI | 1487905592 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: FL ARNP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9173241) |
| 364SP0200X Clinical Nurse Specialist, Pediatrics (Licence: FL ARNP9173241) | |
| Enumeration Date | 2012-09-28 |
| Last Update Date | 2022-08-16 |