| NPI | 1437484953 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: PA SP010445) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN609333) |
| Enumeration Date | 2009-10-16 |
| Last Update Date | 2009-10-16 |