| NPI | 1982290029 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: PA SP023088) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN737129) |
| 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: PA SP023087) | |
| Enumeration Date | 2020-12-14 |
| Last Update Date | 2022-08-08 |