| NPI | 1083192355 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0200X Registered Nurse Pediatrics (Licence: CA 708945) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 708945) |
| Enumeration Date | 2018-07-30 |
| Last Update Date | 2018-07-30 |