| NPI | 1841777141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: FL APRN11032566) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA RN216024) |
| 363LP0200X Nurse Practitioner Pediatrics (Licence: GA RN216024) | |
| Enumeration Date | 2018-07-19 |
| Last Update Date | 2024-08-09 |