| NPI | 1265904379 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: PA SP019647) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: PA SP019647) |
| 363L00000X Nurse Practitioner (Licence: PA SP019647) | |
| Enumeration Date | 2018-12-31 |
| Last Update Date | 2018-12-31 |