| NPI | 1932172681 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SP0200X Clinical Nurse Specialist Pediatrics (Licence: CT 000209) |
| Additional Taxonomies | 163WP0200X Registered Nurse Pediatrics (Licence: CT R32068) |
| Enumeration Date | 2006-02-10 |
| Last Update Date | 2011-12-21 |