| NPI | 1891416632 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: FL APRN11020507) |
| Additional Taxonomies | 363LP0222X Nurse Practitioner Pediatrics, Critical Care (Licence: FL APRN11020507) |
| Enumeration Date | 2022-09-09 |
| Last Update Date | 2022-11-08 |