| NPI | 1851539043 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WY 36156.1422) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: FL ARNP 9286348) |
| Enumeration Date | 2009-01-27 |
| Last Update Date | 2019-10-24 |