| NPI | 1457735037 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: PA SP016656) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 670377) |
| 163W00000X Registered Nurse (Licence: TN 183395) | |
| Enumeration Date | 2015-07-14 |
| Last Update Date | 2016-10-17 |