| NPI | 1770519134 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 5005669) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL RN3246712) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: NC 252884) | |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2012-07-30 |