| NPI | 1326750027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: TN 88117) |
| Additional Taxonomies | 364SP0200X Clinical Nurse Specialist Pediatrics (Licence: TN 1881746782) |
| Enumeration Date | 2022-12-14 |
| Last Update Date | 2022-12-14 |