| NPI | 1568989317 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL ARNP9221346) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: FL 9221346) |
| Enumeration Date | 2017-08-23 |
| Last Update Date | 2018-08-31 |