| NPI | 1851494991 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CT R42162) |
| Additional Taxonomies | 163WP0200X Registered Nurse Pediatrics (Licence: CT 000924) |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2007-07-08 |