| NPI | 1619476934 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WS0200X Registered Nurse, School (Licence: NE 62453) |
| Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: NE 62453) |
| Enumeration Date | 2018-02-02 |
| Last Update Date | 2018-03-17 |