| NPI | 1902244429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL arnp9361865) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TN 20576) |
| Enumeration Date | 2013-06-06 |
| Last Update Date | 2019-03-01 |