| NPI | 1942363734 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP028834) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: PA SP028834) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 734445) | |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2025-06-23 |