| NPI | 1114415007 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0200X Registered Nurse, Pediatrics (Licence: CT 71288) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: CT 71288) |
| Enumeration Date | 2018-04-25 |
| Last Update Date | 2018-04-25 |