| NPI | 1629454244 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: PA NPPA036200) |
| Additional Taxonomies | 364SP0200X Clinical Nurse Specialist, Pediatrics (Licence: PA SP015101) |
| Enumeration Date | 2015-08-05 |
| Last Update Date | 2023-04-25 |