| NPI | 1902115165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL APRN9214698) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL ARNP9214698) |
| Enumeration Date | 2010-10-05 |
| Last Update Date | 2021-03-10 |