| NPI | 1891178000 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MA RN23228181) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY 382616) |
| 163WP0200X Registered Nurse, Pediatrics (Licence: PA RN656119) | |
| 163WP0200X Registered Nurse, Pediatrics (Licence: NY 657218) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: PA SP016127) | |
| Enumeration Date | 2015-07-07 |
| Last Update Date | 2018-11-15 |