| NPI | 1689114092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11007631) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL APRN11007631) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: GA RN221728) | |
| Enumeration Date | 2017-03-03 |
| Last Update Date | 2021-12-20 |