| NPI | 1457510828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: PA SP009048) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: PA RN525953L) |
| Enumeration Date | 2008-06-02 |
| Last Update Date | 2008-06-02 |