| NPI | 1649460965 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 163WM0102X Registered Nurse, Maternal Newborn (Licence: DE LQ0000102) | 
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: DE LI0010402) | 
| Enumeration Date | 2007-08-01 | 
| Last Update Date | 2007-08-01 |