| NPI | 1407190663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SP0200X Clinical Nurse Specialist, Pediatrics (Licence: OR 202011070NP-PP) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WA 60434628) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY 382329) | |
| Enumeration Date | 2012-11-11 |
| Last Update Date | 2023-01-30 |