| NPI | 1497085948 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: PA SP014121) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN606231) |
| Enumeration Date | 2010-01-06 |
| Last Update Date | 2014-12-03 |