| NPI | 1811209695 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: NY 382141) |
| Additional Taxonomies | 2080P0203X Pediatrics Pediatric Critical Care Medicine (Licence: FL APRN9278522) |
| 363L00000X Nurse Practitioner (Licence: FL APRN9278522) | |
| 363LP0200X Nurse Practitioner Pediatrics (Licence: FL ARNP9278522) | |
| Enumeration Date | 2010-07-08 |
| Last Update Date | 2023-10-30 |