| NPI | 1679191506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: FL 11007953) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11007953) |
| Enumeration Date | 2020-07-07 |
| Last Update Date | 2024-01-11 |