| NPI | 1699918813 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364SP0200X Clinical Nurse Specialist, Pediatrics (Licence: MO 2011035316) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 083279) |
| Enumeration Date | 2009-04-17 |
| Last Update Date | 2020-10-30 |