| NPI | 1629829247 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0200X Registered Nurse, Pediatrics (Licence: NC 332198) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN 2485593) |
| Enumeration Date | 2024-04-01 |
| Last Update Date | 2024-04-01 |