| NPI | 1518259001 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL ARNP9182066) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ARNP9182066) |
| Enumeration Date | 2011-05-03 |
| Last Update Date | 2022-07-21 |