| NPI | 1902181043 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0200X Registered Nurse Pediatrics (Licence: MD R069315) |
| Additional Taxonomies | 163WC0400X Registered Nurse Case Management (Licence: MD R069315) |
| 163WP2201X Registered Nurse Ambulatory Care (Licence: MD R069315) | |
| Enumeration Date | 2011-10-20 |
| Last Update Date | 2011-10-20 |