| NPI | 1649390303 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: PA SP023219) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY F381375) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: MD R210336) | |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2021-03-11 |