| NPI | 1780121301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TN 31035) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL ARNP9335776) |
| 363L00000X Nurse Practitioner (Licence: FL ARNP9335776) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL APRN9335776) | |
| Enumeration Date | 2017-01-20 |
| Last Update Date | 2022-04-19 |