| NPI | 1568846038 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL APRN9259335) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9259335) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9259335) | |
| Enumeration Date | 2015-07-15 |
| Last Update Date | 2025-02-10 |