| NPI | 1700420346 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0200X Registered Nurse, Pediatrics (Licence: FL 11004860) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: TN 26544) |
| Enumeration Date | 2019-11-06 |
| Last Update Date | 2019-11-06 |