| NPI | 1649802083 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL 11032545) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 945476) |
| Enumeration Date | 2020-02-04 |
| Last Update Date | 2024-05-23 |