| NPI | 1174151583 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: PA SP027242) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: FL 9461254) |
| Enumeration Date | 2020-03-31 |
| Last Update Date | 2023-03-14 |