NPI | 1154036390 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 364SP0807X Clinical Nurse Specialist, Psych/Mental Health, Child & Adolescent (Licence: FL APRN11025315) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL APRN11025315) |
163WP0200X Registered Nurse, Pediatrics (Licence: FL RN9463809) | |
Enumeration Date | 2023-01-23 |
Last Update Date | 2024-02-15 |