| NPI | 1043383912 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NH 021080 21) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NH 021080 23 02) |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2007-07-08 |