| NPI | 1598237356 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: FL APRN9309831) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN9309831) |
| Enumeration Date | 2018-12-18 |
| Last Update Date | 2021-07-15 |