| NPI | 1245258862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0200X Registered Nurse Pediatrics (Licence: CT R24358) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: CT 000807) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2007-07-08 |