| NPI | 1033855598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WS0200X Registered Nurse, School (Licence: LA 107135) |
| Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: LA 107135) |
| Enumeration Date | 2022-05-09 |
| Last Update Date | 2022-05-09 |