| NPI | 1346515681 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0200X Registered Nurse, Pediatrics (Licence: NC 245250) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 245250) |
| 163W00000X Registered Nurse (Licence: FL 9316225) | |
| 163WH0200X Registered Nurse, Home Health (Licence: NC 245250) | |
| Enumeration Date | 2012-03-20 |
| Last Update Date | 2012-03-20 |