| NPI | 1134173727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SP0200X Clinical Nurse Specialist, Pediatrics (Licence: MO 129829) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MO RN129829) |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2022-08-16 |