| NPI | 1801665914 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: ID 76037) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: ID 76037) |
| Enumeration Date | 2023-12-29 |
| Last Update Date | 2023-12-29 |