| NPI | 1679269997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WX0003X Registered Nurse, Obstetric, Inpatient (Licence: AL 1-185986) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-185986) |
| Enumeration Date | 2023-04-12 |
| Last Update Date | 2023-04-12 |