| NPI | 1740428408 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: NC 300117) |
| Additional Taxonomies | 163WP0200X Registered Nurse Pediatrics (Licence: NC 141963) |
| 163WP0218X Registered Nurse Pediatric Oncology (Licence: NC 141963) | |
| Enumeration Date | 2009-02-03 |
| Last Update Date | 2009-02-03 |