| NPI | 1588803886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL APRN9432443) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9432443) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: MI 363LP0200X) | |
| Enumeration Date | 2009-02-10 |
| Last Update Date | 2022-11-10 |