| NPI | 1023564937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WM0102X Registered Nurse, Maternal Newborn (Licence: SC 214216) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: SC 214216) |
| Enumeration Date | 2016-08-30 |
| Last Update Date | 2016-08-30 |