| NPI | 1851483739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: PA TP006704N) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: DE L10032073) |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2008-10-30 |