| NPI | 1801224407 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SP0200X Clinical Nurse Specialist, Pediatrics (Licence: MO 2013037704) |
| Additional Taxonomies | 364SF0001X Clinical Nurse Specialist, Family Health (Licence: MO 20130377074) |
| Enumeration Date | 2013-10-17 |
| Last Update Date | 2013-10-17 |