| NPI | 1356481154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0200X Registered Nurse, Pediatrics (Licence: PA RN224719L) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: PA SP005699D) |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2007-07-08 |