| NPI | 1659818268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: DE LJ-0000350) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DE L1-0040450) |
| 163W00000X Registered Nurse (Licence: PA RN619459) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: PA SP017140) | |
| Enumeration Date | 2017-01-21 |
| Last Update Date | 2025-09-09 |