| NPI | 1558094052 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: PA SP026192) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 172417) |
| Enumeration Date | 2022-07-03 |
| Last Update Date | 2022-10-26 |