| NPI | 1659718799 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: FL ARNP9279091) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: FL RN9279091) |
| Enumeration Date | 2013-05-30 |
| Last Update Date | 2019-06-27 |