| NPI | 1831348564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5016596) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9205431) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL ARNP9205431) | |
| Enumeration Date | 2008-09-18 |
| Last Update Date | 2022-10-28 |