| NPI | 1023088614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0200X Registered Nurse, Pediatrics (Licence: VA 0024055795) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: VA 0001055795) |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2008-07-21 |