NPI | 1952684268 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 364SP0200X Clinical Nurse Specialist, Pediatrics (Licence: TN 16121) |
Additional Taxonomies | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: TN 20227510) |
2080P0008X Pediatrics, Neurodevelopmental Disabilities (Licence: TN 20227510) | |
Enumeration Date | 2011-09-22 |
Last Update Date | 2024-09-20 |