| NPI | 1720219504 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WI 158261030) |
| Additional Taxonomies | 163WC0400X Registered Nurse, Case Management (Licence: WI 158261030) |
| 163WP0200X Registered Nurse, Pediatrics (Licence: WI 158261030) | |
| Enumeration Date | 2009-07-28 |
| Last Update Date | 2009-07-28 |