NPI | 1760886717 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9331266) |
Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: FL RN9331266) |
363LP0200X Nurse Practitioner, Pediatrics (Licence: FL ARNP9331266) | |
Enumeration Date | 2014-10-20 |
Last Update Date | 2025-09-02 |