| NPI | 1730726175 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WE0003X Registered Nurse Emergency (Licence: AZ RN213178) |
| Additional Taxonomies | 163WP0200X Registered Nurse Pediatrics (Licence: CA 95129067) |
| Enumeration Date | 2019-12-04 |
| Last Update Date | 2019-12-04 |