| NPI | 1811426430 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9349470) |
| Additional Taxonomies | 2086S0120X Surgery, Pediatric Surgery (Licence: FL ARNP9349470) |
| Enumeration Date | 2017-06-07 |
| Last Update Date | 2019-05-30 |