| NPI | 1750049490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL APRN11016812) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: FL APRN11016812) |
| Enumeration Date | 2021-11-30 |
| Last Update Date | 2024-09-09 |