| NPI | 1477800431 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0200X Registered Nurse, Pediatrics (Licence: NE 111391) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NE 111391) |
| Enumeration Date | 2012-08-09 |
| Last Update Date | 2015-01-09 |