NPI | 1043086101 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: NC 318202) |
Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: NC 318202) |
Enumeration Date | 2023-11-30 |
Last Update Date | 2023-11-30 |