| NPI | 1467922617 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0200X Registered Nurse, Pediatrics (Licence: MO 2014038029) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 13-117413-102) |
| Enumeration Date | 2018-11-30 |
| Last Update Date | 2018-11-30 |