| NPI | 1831439579 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL ARNP9252739) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL RN9252739) |
| Enumeration Date | 2013-02-17 |
| Last Update Date | 2013-06-05 |