| NPI | 1124592449 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: GA RN248477) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN248477) |
| Enumeration Date | 2019-01-21 |
| Last Update Date | 2021-08-11 |