NPI | 1932291804 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 364SM0705X Clinical Nurse Specialist Medical-Surgical (Licence: FL APRN9418259) |
Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: FL ARNP9418259) |
Enumeration Date | 2006-09-29 |
Last Update Date | 2020-09-03 |