| NPI | 1518041284 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MD R212977) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH NP10735) |
| 363L00000X Nurse Practitioner (Licence: NJ 26NJ00103700) | |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2014-09-11 |