| NPI | 1720624406 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL APRN11017050) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: FL RN9424439) |
| Enumeration Date | 2019-11-18 |
| Last Update Date | 2022-06-03 |