| NPI | 1033689294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0200X Registered Nurse, Pediatrics (Licence: GA RN297828) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: TN 227517) |
| Enumeration Date | 2018-11-30 |
| Last Update Date | 2020-10-20 |