| NPI | 1891791737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CO 198025) |
| Additional Taxonomies | 163WP0200X Registered Nurse Pediatrics (Licence: IL 041-143218) |
| Enumeration Date | 2005-06-24 |
| Last Update Date | 2011-01-18 |