| NPI | 1548351828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WS0200X Registered Nurse, School (Licence: DE L1-0028892) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: DE LJ0000225) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: DE LJ0000225) | |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2021-11-22 |