| NPI | 1932863529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL APRN11027618) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: FL RN9432589) |
| Enumeration Date | 2021-10-28 |
| Last Update Date | 2023-12-05 |