| NPI | 1861284093 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL APRN11040155) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL Pending) |
| Enumeration Date | 2025-05-22 |
| Last Update Date | 2025-10-03 |