| NPI | 1336770858 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364SP0200X Clinical Nurse Specialist, Pediatrics (Licence: FL 11015630) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MS 907283) |
| Enumeration Date | 2020-02-03 |
| Last Update Date | 2022-02-14 |