| NPI | 1760660666 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0200X Registered Nurse, Pediatrics (Licence: PA SP008749) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: PA RN567274) |
| Enumeration Date | 2008-02-04 |
| Last Update Date | 2010-08-26 |