| NPI | 1962220335 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 364SP0200X Clinical Nurse Specialist, Pediatrics (Licence: FL APRN11040898) | 
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9296938) | 
| Enumeration Date | 2024-10-02 | 
| Last Update Date | 2025-07-15 |