| NPI | 1912215179 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP9391935) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NM CNP-o1664) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL ARNP9391935) | |
| Enumeration Date | 2010-09-21 |
| Last Update Date | 2017-01-11 |