| NPI | 1780348797 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL 11023443) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: FL 9426748) |
| Enumeration Date | 2021-10-26 |
| Last Update Date | 2024-02-23 |