| NPI | 1518833979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL APRN11043506) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9439843) |
| Enumeration Date | 2025-10-14 |
| Last Update Date | 2025-11-06 |