| NPI | 1992290001 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL APRN11023640) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: UT 287645-4405) |
| Enumeration Date | 2018-06-30 |
| Last Update Date | 2025-02-10 |