| NPI | 1043290729 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KS 74790) |
| Additional Taxonomies | 364SP0200X Clinical Nurse Specialist, Pediatrics (Licence: KS 74790) |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2011-02-10 |