| NPI | 1770022683 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9278234) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL 9278234) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL APRN9278234) | |
| Enumeration Date | 2017-02-13 |
| Last Update Date | 2023-07-18 |