| NPI | 1124664610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WC1500X Registered Nurse, Community Health (Licence: CO 0195841) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN.0195841) |
| 163WP0200X Registered Nurse, Pediatrics (Licence: CO 0195841) | |
| Enumeration Date | 2019-11-20 |
| Last Update Date | 2020-01-29 |