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 |