| NPI | 1508007329 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: FL APRN9264276) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: FL 9264276) |
| Enumeration Date | 2009-03-09 |
| Last Update Date | 2023-04-05 |