NPI | 1356108013 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WP0200X Registered Nurse, Pediatrics (Licence: WA 61204544) |
Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: HI 100252) |
Enumeration Date | 2024-02-29 |
Last Update Date | 2024-02-29 |