| NPI | 1841416112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: PA SP011202) |
| Additional Taxonomies | 163WM0102X Registered Nurse Maternal Newborn (Licence: PA RN285375L) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2011-05-25 |