| NPI | 1255758223 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: PA SP016539) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NJ 26NJ15048100) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: MD R201139) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: DC RN1038573) | |
| Enumeration Date | 2014-03-27 |
| Last Update Date | 2025-09-19 |