| NPI | 1982612529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: PA RN292282L) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26N008095600) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: PA SP003003N) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: NJ 26NN08095600) | |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2007-07-08 |