| NPI | 1780219758 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL APRN11004203) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL APRN11004203) |
| Enumeration Date | 2020-03-10 |
| Last Update Date | 2024-01-19 |