| NPI | 1851721658 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SP0200X Clinical Nurse Specialist Pediatrics (Licence: PA SP013403) |
| Additional Taxonomies | 364SP0200X Clinical Nurse Specialist Pediatrics (Licence: PA RN639742) |
| Enumeration Date | 2013-11-15 |
| Last Update Date | 2014-10-31 |