| NPI | 1043684434 |
|---|---|
| Former Name | NICHOLE S PEFFLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP015768) |
| Additional Taxonomies | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: PA SP99999) |
| Enumeration Date | 2015-11-23 |
| Last Update Date | 2022-08-09 |