| NPI | 1740674803 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WA2000X Registered Nurse, Administrator (Licence: SC 228450) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: SC 228450) |
| 163WP0200X Registered Nurse, Pediatrics (Licence: SC 228450) | |
| Enumeration Date | 2015-03-26 |
| Last Update Date | 2015-03-26 |