NPI | 1790940633 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 364SP0200X Clinical Nurse Specialist, Pediatrics (Licence: TX 517550) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 517550) |
Enumeration Date | 2008-07-21 |
Last Update Date | 2012-03-09 |