| NPI | 1962543595 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL APRN11017948) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CO 115740) |
| 363L00000X Nurse Practitioner (Licence: FL APRN11017948) | |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2023-10-20 |