| NPI | 1821587189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0200X Registered Nurse, Pediatrics (Licence: CT L1-0037240) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: DE L1-0037240) |
| Enumeration Date | 2018-05-02 |
| Last Update Date | 2018-05-02 |