| NPI | 1578857330 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL 9489567) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NC 223076) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: VA 0024171559) | |
| Enumeration Date | 2011-06-08 |
| Last Update Date | 2022-04-01 |