| NPI | 1598996183 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: PA SP011259) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY 26NJ00175900) |
| Enumeration Date | 2009-07-31 |
| Last Update Date | 2015-12-24 |