| NPI | 1063932812 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WM0102X Registered Nurse, Maternal Newborn (Licence: SC 233686) |
| Additional Taxonomies | 163WC0400X Registered Nurse, Case Management (Licence: SC 233686) |
| 163WH0200X Registered Nurse, Home Health (Licence: SC 233686) | |
| 163WP0200X Registered Nurse, Pediatrics (Licence: SC 233686) | |
| Enumeration Date | 2017-06-22 |
| Last Update Date | 2017-06-22 |