| NPI | 1669667630 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL APRN2830012) |
| Additional Taxonomies | 364SP0200X Clinical Nurse Specialist, Pediatrics (Licence: FL 2830012) |
| Enumeration Date | 2007-09-12 |
| Last Update Date | 2024-10-23 |