| NPI | 1841403292 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: HI 1868) |
| Additional Taxonomies | 146N00000X Emergency Medical Technician, Basic (Licence: PA 147718) |
| 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: PA RT003342) | |
| 163W00000X Registered Nurse (Licence: HI 70895) | |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2017-01-04 |