| NPI | 1861974206 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: PA SP019559) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: PA RN22741) |
| Enumeration Date | 2018-09-01 |
| Last Update Date | 2019-02-28 |