| NPI | 1639955107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0200X Registered Nurse, Pediatrics (Licence: AZ RN215651) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95264602) |
| Enumeration Date | 2023-08-31 |
| Last Update Date | 2023-08-31 |