| NPI | 1699701441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN647182) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL 647182) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL APRN647182) | |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2023-04-14 |