| NPI | 1548379308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL APRN9162993) |
| Additional Taxonomies | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: FL ARNP9162993) |
| 363L00000X Nurse Practitioner (Licence: FL ARNP9162993) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL ARNP9162993) | |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2023-01-10 |