| NPI | 1790567337 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MD R187484) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: MD R1887484) |
| 163WP0200X Registered Nurse, Pediatrics (Licence: MD R187484) | |
| Enumeration Date | 2023-10-18 |
| Last Update Date | 2023-10-18 |