| NPI | 1598841967 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: FL APRN2718212) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP2718212) |
| Enumeration Date | 2006-10-28 |
| Last Update Date | 2024-07-27 |