| NPI | 1548637903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: PA SP015156) |
| Additional Taxonomies | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: PA RN670111) |
| Enumeration Date | 2015-09-01 |
| Last Update Date | 2015-09-01 |