| NPI | 1336745710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: PA SP032302) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: DE LJ-0010389) |
| 363L00000X Nurse Practitioner (Licence: DE LJ-0010389) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: DE LJ-0010389) | |
| Enumeration Date | 2020-12-10 |
| Last Update Date | 2025-12-04 |