| NPI | 1336339688 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: PA SP009587) |
| Additional Taxonomies | 163WP2201X Registered Nurse Ambulatory Care (Licence: PA RN546895) |
| Enumeration Date | 2007-08-01 |
| Last Update Date | 2014-12-30 |