| NPI | 1710203641 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WM0102X Registered Nurse, Maternal Newborn (Licence: GA rn194974) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA rn194974) |
| Enumeration Date | 2010-04-16 |
| Last Update Date | 2010-04-16 |