| NPI | 1376715318 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA VP006569B) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: PA VP006569B) |
| Enumeration Date | 2008-03-31 |
| Last Update Date | 2008-03-31 |