| NPI | 1659414415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0200X Registered Nurse, Pediatrics (Licence: AL 1-071451) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: AL 1-071451) |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2007-07-08 |