| NPI | 1568548014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: FL ARNP0940262) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: FL ARNP0940262) |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2012-12-31 |