| NPI | 1760866727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: PA SP016197) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 686652-1) |
| 163W00000X Registered Nurse (Licence: PA RN679914) | |
| Enumeration Date | 2015-07-18 |
| Last Update Date | 2017-03-14 |