| NPI | 1487124236 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: PA SP020803) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024177584) |
| 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ15318900) | |
| 363LF0000X Nurse Practitioner, Family (Licence: PA SP020803) | |
| Enumeration Date | 2018-12-04 |
| Last Update Date | 2025-07-06 |