| NPI | 1023024965 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CT 000836) |
| Additional Taxonomies | 364SP0200X Clinical Nurse Specialist Pediatrics (Licence: CT 000836) |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2012-02-16 |