| NPI | 1619950458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL 1826502) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL 1826502) |
| Enumeration Date | 2005-11-25 |
| Last Update Date | 2007-07-08 |