| NPI | 1992419345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL APRN11020847) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11020847) |
| Enumeration Date | 2023-01-10 |
| Last Update Date | 2023-02-22 |