| NPI | 1457617987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: DE LJ-0000317) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: PA SP011817) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY F3820551) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 18295) | |
| Enumeration Date | 2012-04-10 |
| Last Update Date | 2017-03-11 |