| 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 |