| NPI | 1669084992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: PA SP023032) |
| Additional Taxonomies | 363LS0200X Nurse Practitioner, School (Licence: PA RN627523) |
| Enumeration Date | 2020-08-18 |
| Last Update Date | 2023-01-31 |