| NPI | 1336699008 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: PA sp024264) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 22683556) |
| 163W00000X Registered Nurse (Licence: CT 136668) | |
| 163W00000X Registered Nurse (Licence: DE L1-0047785) | |
| 163W00000X Registered Nurse (Licence: PA RN628572) | |
| 163W00000X Registered Nurse (Licence: CA 850127) | |
| 163W00000X Registered Nurse (Licence: NJ 26NR18301600) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: CT 006806) | |
| Enumeration Date | 2016-10-06 |
| Last Update Date | 2021-10-15 |