| NPI | 1730425067 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0200X Registered Nurse, Pediatrics (Licence: PA SP007916) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN547118) |
| Enumeration Date | 2012-12-13 |
| Last Update Date | 2012-12-13 |