| NPI | 1326875576 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: GA 250823) |
| Additional Taxonomies | 163WP0200X Registered Nurse Pediatrics (Licence: GA 250823) |
| Enumeration Date | 2024-09-19 |
| Last Update Date | 2024-09-19 |