| NPI | 1770089955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WI 192282) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: WI 192282) |
| Enumeration Date | 2018-04-05 |
| Last Update Date | 2018-05-16 |