| NPI | 1952394231 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL APRN1895682) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL RN1895682) |
| 363L00000X Nurse Practitioner (Licence: FL ARNP1895682) | |
| Enumeration Date | 2005-08-23 |
| Last Update Date | 2023-11-03 |