| NPI | 1720642234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: PA 699773) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: DE lj0000359) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: NJ 26nj00921400) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: PA SP020379) | |
| Enumeration Date | 2019-04-30 |
| Last Update Date | 2019-06-12 |