| NPI | 1710968003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL APRN9234709) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY f381037) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL ARNP9234709) | |
| Enumeration Date | 2005-11-14 |
| Last Update Date | 2019-06-28 |