| NPI | 1689004905 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL APRN9330396) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9330396) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 95010423) | |
| Enumeration Date | 2013-11-22 |
| Last Update Date | 2026-08-24 |