| NPI | 1619130986 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: PA SP008006) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN528266L) |
| 163W00000X Registered Nurse (Licence: PA 26NR10836000) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: NJ 26NJ00072700) | |
| Enumeration Date | 2008-07-08 |
| Last Update Date | 2008-07-10 |