| NPI | 1649260175 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: PA SP007326) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: PA RN353978L) |
| Enumeration Date | 2005-10-26 |
| Last Update Date | 2025-09-11 |