| NPI | 1720131634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL 0960292) |
| Additional Taxonomies | 104100000X Social Worker |
| 163WP0200X Registered Nurse, Pediatrics (Licence: FL ARNP960292) | |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2011-03-10 |