| NPI | 1184804304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SP0200X Clinical Nurse Specialist, Pediatrics (Licence: NC 190960) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MI 4704283723) |
| Enumeration Date | 2007-11-05 |
| Last Update Date | 2018-05-08 |