| NPI | 1730407750 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0200X Registered Nurse, Pediatrics (Licence: PA VP006685D) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN297181L) |
| Enumeration Date | 2010-05-14 |
| Last Update Date | 2010-05-14 |