| NPI | 1528334638 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL ARNP9247133) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9247133) |
| Enumeration Date | 2012-03-23 |
| Last Update Date | 2019-09-09 |