| NPI | 1043561939 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WS0200X Registered Nurse, School (Licence: AR R54633) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AR R54633) |
| 163WC0400X Registered Nurse, Case Management (Licence: AR R54633) | |
| 163WC1600X Registered Nurse, Continuing Education/Staff Development (Licence: AR R54633) | |
| 163WG0000X Registered Nurse, General Practice (Licence: AR R54633) | |
| 163WP0200X Registered Nurse, Pediatrics (Licence: AR R54633) | |
| Enumeration Date | 2012-10-02 |
| Last Update Date | 2012-10-02 |