| NPI | 1124610845 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: PA SP023787) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN688449) |
| 163W00000X Registered Nurse (Licence: NJ 26NR21378900) | |
| Enumeration Date | 2021-02-04 |
| Last Update Date | 2021-09-02 |