| NPI | 1598786618 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: PA SP009723) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: MD R103332) |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2014-05-12 |