| NPI | 1346518636 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NE 111450) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NE 34572) |
| 364SP0200X Clinical Nurse Specialist, Pediatrics (Licence: NE 114051) | |
| Enumeration Date | 2011-12-01 |
| Last Update Date | 2013-02-20 |