| 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 |