| NPI | 1669822193 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL APRN9311463) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN9311463) |
| Enumeration Date | 2016-06-15 |
| Last Update Date | 2024-05-20 |