| NPI | 1073913547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0200X Registered Nurse Pediatrics (Licence: GA RN183446) |
| Additional Taxonomies | 163WM0705X Registered Nurse Medical-Surgical (Licence: GA RN183446) |
| Enumeration Date | 2014-09-03 |
| Last Update Date | 2014-09-03 |