| NPI | 1912221375 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL APRN11016251) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OK R67192) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: TX AP137962) | |
| Enumeration Date | 2010-03-15 |
| Last Update Date | 2022-03-06 |