| NPI | 1033378252 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: PA VP004789N) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN323337L) |
| Enumeration Date | 2008-06-03 |
| Last Update Date | 2008-06-03 |