| NPI | 1588776462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: FL ARNP897192) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP897192) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2012-05-04 |