| NPI | 1508678715 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL APRN11038152) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: FL RN95339756) |
| Enumeration Date | 2025-01-23 |
| Last Update Date | 2025-03-28 |