| NPI | 1104983774 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0200X Registered Nurse, Pediatrics (Licence: PA RN540385) |
| Additional Taxonomies | 174400000X Specialist (Licence: PA SP 7405) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2007-07-08 |