NPI | 1073761235 |
---|---|
Former Name | KATHERINE SUZANNE MASSURA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 364SP0200X Clinical Nurse Specialist, Pediatrics (Licence: IL 209007103) |
Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: IN 28154243A) |
163WP0200X Registered Nurse, Pediatrics (Licence: IL 041332518) | |
Enumeration Date | 2008-08-29 |
Last Update Date | 2022-03-19 |