| NPI | 1649823311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL APRN9362346) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL APRN9362346) |
| 363L00000X Nurse Practitioner (Licence: FL APRN9362346) | |
| Enumeration Date | 2019-07-22 |
| Last Update Date | 2024-08-08 |