| NPI | 1871551218 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL ARNP1142902) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: FL 1142902) |
| 164W00000X Licensed Practical Nurse (Licence: FL ARNP1142902) | |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2024-07-12 |