| NPI | 1285036749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: WI 154837-30) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 154837-30) |
| 163WM0705X Registered Nurse, Medical-Surgical (Licence: WI 154837-30) | |
| Enumeration Date | 2014-09-16 |
| Last Update Date | 2014-09-16 |