| NPI | 1033273644 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: PA SP010116) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R053757) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: MD R053757) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: MD R053757) | |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2014-04-06 |