| NPI | 1184881518 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: PA SP009375) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN216484L) |
| 163W00000X Registered Nurse (Licence: NJ 26NR05351200) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: NJ 26NN05351200) | |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2008-05-22 |