| NPI | 1891057170 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NV 863782) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: NV 863782) |
| Enumeration Date | 2012-06-12 |
| Last Update Date | 2024-01-09 |