NPI | 1225247638 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WP0200X Registered Nurse, Pediatrics (Licence: MO 107624) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: MO 107624) |
Enumeration Date | 2007-05-22 |
Last Update Date | 2007-07-08 |