| NPI | 1558316661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: PA SP001292D) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: PA RN246024L) |
| 163WP0200X Registered Nurse, Pediatrics (Licence: NJ 26NR06393100) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: NJ 26NN06393100) | |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2014-12-26 |