| NPI | 1578699815 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: PA RN198727L) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: PA TP000324D) |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2007-07-08 |