| NPI | 1891463238 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: AZ 244212) |
| Additional Taxonomies | 163WP0200X Registered Nurse Pediatrics (Licence: AZ 244212) |
| Enumeration Date | 2021-09-01 |
| Last Update Date | 2023-06-02 |