| NPI | 1942799093 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL APRN9407071) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WV 121372) |
| Enumeration Date | 2018-05-04 |
| Last Update Date | 2026-01-23 |