| NPI | 1366221079 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 163WC1500X Registered Nurse, Community Health (Licence: FL 9549531)  | 
| Additional Taxonomies | 163WN0003X Registered Nurse, Neonatal, Low-Risk (Licence: FL 9549531)  | 
| Enumeration Date | 2023-09-22 | 
| Last Update Date | 2023-09-22 |