| NPI | 1225077597 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SP0200X Clinical Nurse Specialist Pediatrics (Licence: MO 2003030797) |
| Additional Taxonomies | 364SP0200X Clinical Nurse Specialist Pediatrics (Licence: KS 74842) |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2007-07-08 |