| NPI | 1700120847 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL APRN9374321) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 658142) |
| 163W00000X Registered Nurse (Licence: FL RN9374321) | |
| 163WL0100X Registered Nurse, Lactation Consultant (Licence: NY L-301507) | |
| 363L00000X Nurse Practitioner (Licence: FL RNP9374321) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY 382746) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: NY 20170943) | |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2023-06-23 |