| NPI | 1902889801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL APRN3066792) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL ARNP3066792) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL 3066792) | |
| Enumeration Date | 2005-11-23 |
| Last Update Date | 2022-07-26 |