| NPI | 1548568926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0200X Registered Nurse, Pediatrics (Licence: NC 193041) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 193041) |
| 163WG0000X Registered Nurse, General Practice (Licence: NC 193041) | |
| 163WM0705X Registered Nurse, Medical-Surgical (Licence: NC 193041) | |
| 163WP2201X Registered Nurse, Ambulatory Care (Licence: NC 193041) | |
| Enumeration Date | 2011-03-08 |
| Last Update Date | 2011-09-16 |