| NPI | 1508405770 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0200X Registered Nurse, Pediatrics (Licence: AR R051616) |
| Additional Taxonomies | 163WH1000X Registered Nurse, Hospice (Licence: AR R051616) |
| 224Z00000X Occupational Therapy Assistant (Licence: AR OT-A1571) | |
| Enumeration Date | 2020-01-05 |
| Last Update Date | 2025-01-02 |