| NPI | 1083863724 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SP0200X Clinical Nurse Specialist, Pediatrics (Licence: CO 0991702-NP) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: PA SP009883) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY 38382181) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: MN 162968-4) | |
| Enumeration Date | 2008-09-18 |
| Last Update Date | 2015-07-02 |