| NPI | 1760877039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WL0100X Registered Nurse, Lactation Consultant (Licence: PA RN599928) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NJ 26NJ00559900) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: PA SP014836) | |
| Enumeration Date | 2015-04-02 |
| Last Update Date | 2022-12-12 |