| NPI | 1508400482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL APRN11022019) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN11022019) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY 383073) | |
| Enumeration Date | 2019-11-04 |
| Last Update Date | 2022-10-11 |