| 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 |