| NPI | 1932139680 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0200X Registered Nurse, Pediatrics (Licence: PA RN353629L) |
| Additional Taxonomies | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: PA SP005932D) |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2007-07-08 |