| NPI | 1922041607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: PA RN356630L) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ RN26NR05571500) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: PA sp007820) | |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2007-09-12 |