| NPI | 1629152046 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9451176) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA 124632) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2025-05-22 |