| NPI | 1952971319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL 11017646) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: FL 9462975) |
| 363L00000X Nurse Practitioner (Licence: FL 11017646) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: FL 11017646) | |
| Enumeration Date | 2021-06-29 |
| Last Update Date | 2024-04-29 |