| NPI | 1154746774 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: PA SP012673) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN585817) |
| 163W00000X Registered Nurse (Licence: NJ 26NR17091800) | |
| Enumeration Date | 2014-02-19 |
| Last Update Date | 2018-10-08 |