| NPI | 1871779561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207NP0225X Dermatology, Pediatric Dermatology (Licence: FL APRN2624642) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP2624642) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: FL 2624642) | |
| Enumeration Date | 2008-01-14 |
| Last Update Date | 2025-01-30 |