| NPI | 1740375633 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP9308112) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL 9308112) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL ARNP9308112) | |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2017-01-23 |