| NPI | 1902646409 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0200X Registered Nurse, Pediatrics (Licence: WV 54310) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: WV 24310) |
| Enumeration Date | 2024-05-31 |
| Last Update Date | 2024-05-31 |