| NPI | 1720395700 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL APRN11005672) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: RI NPP37580) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: MA RN2262105) | |
| Enumeration Date | 2010-09-11 |
| Last Update Date | 2022-12-08 |