| NPI | 1043372881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: PA SP017102) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: PA 20163629) |
| 133V00000X Dietitian, Registered | |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2024-01-08 |