| NPI | 1730741760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL 11002907) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: FL 9344387) |
| Enumeration Date | 2019-06-29 |
| Last Update Date | 2021-04-05 |