| NPI | 1407340458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: PA SP026640) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN761417) |
| 163W00000X Registered Nurse (Licence: CA 95154770) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: PA SP026641) | |
| Enumeration Date | 2018-06-21 |
| Last Update Date | 2022-11-23 |