| NPI | 1639428196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WM0102X Registered Nurse, Maternal Newborn (Licence: AZ RN196005) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 795180) |
| 163W00000X Registered Nurse (Licence: FL 9284954) | |
| 163W00000X Registered Nurse (Licence: TN 172612) | |
| 163W00000X Registered Nurse (Licence: MN 200416-9) | |
| 163W00000X Registered Nurse (Licence: PA 626082) | |
| 163W00000X Registered Nurse (Licence: LA 131834) | |
| Enumeration Date | 2012-08-30 |
| Last Update Date | 2025-07-15 |