| NPI | 1528673084 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: PA SP022046) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP027978) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: PA SP022046) | |
| Enumeration Date | 2020-09-11 |
| Last Update Date | 2023-10-04 |