| NPI | 1306836572 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0200X Registered Nurse, Pediatrics (Licence: PA rn309981L) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: PA VP004115N) |
| Enumeration Date | 2005-10-27 |
| Last Update Date | 2007-07-08 |