| NPI | 1891925798 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WI 127134-030) |
| Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: WI 127134-030) |
| Enumeration Date | 2009-07-26 |
| Last Update Date | 2009-09-28 |