| NPI | 1396371985 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: AL 1-176473) |
| Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: AL 1-176473) |
| Enumeration Date | 2020-03-16 |
| Last Update Date | 2020-03-16 |