| NPI | 1265178735 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 163WS0200X Registered Nurse, School (Licence: LA RN122683) | 
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: LA RN122683) | 
| 163WP0200X Registered Nurse, Pediatrics (Licence: LA RN122683) | |
| Enumeration Date | 2022-05-09 | 
| Last Update Date | 2022-05-09 |