| NPI | 1629147970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL ARNP9329147) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 703613) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: NJ 26NO9713100) | |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2016-02-22 |