| NPI | 1750994612 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: PA SP027747) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: PA RN770477) |
| Enumeration Date | 2020-08-28 |
| Last Update Date | 2024-10-17 |