| 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 |