| NPI | 1912993353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP9412611) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OR 087000407N2 PNP) |
| Enumeration Date | 2005-09-21 |
| Last Update Date | 2018-05-31 |