| 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 |