| NPI | 1619619863 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0200X Registered Nurse, Pediatrics (Licence: TN 193603) |
| Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: TN 193603) |
| Enumeration Date | 2022-04-08 |
| Last Update Date | 2023-11-10 |