| NPI | 1891337432 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL APRN11021849) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: FL 9361275) |
| Enumeration Date | 2019-10-15 |
| Last Update Date | 2022-10-25 |