| NPI | 1124264718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WM0102X Registered Nurse Maternal Newborn (Licence: DC RN967529) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: ID RN967529) |
| Enumeration Date | 2009-01-02 |
| Last Update Date | 2009-01-02 |