| NPI | 1285604181 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: PA TP001845D) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ NO06899300) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: NJ NJ00078300) | |
| 163W00000X Registered Nurse (Licence: PA RN280006L) | |
| Enumeration Date | 2006-01-24 |
| Last Update Date | 2014-12-17 |