| NPI | 1265123616 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: PA SP027540) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN729862) |
| 163W00000X Registered Nurse (Licence: NJ 26NR21815500) | |
| 163W00000X Registered Nurse (Licence: FL RN9411934) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL 11025435) | |
| Enumeration Date | 2023-05-17 |
| Last Update Date | 2023-09-06 |