| NPI | 1164221933 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: PA SP032414) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN705718) |
| 163W00000X Registered Nurse (Licence: NJ 26NR24994300) | |
| 163WD0400X Registered Nurse, Diabetes Educator (Licence: PA 22200655) | |
| Enumeration Date | 2025-03-12 |
| Last Update Date | 2025-03-12 |