| NPI | 1033624366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: PA SP018280) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP018280) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: PA SP018280) | |
| Enumeration Date | 2017-12-08 |
| Last Update Date | 2024-07-08 |