| NPI | 1902893050 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WM0102X Registered Nurse, Maternal Newborn (Licence: MI 4704219654) |
| Additional Taxonomies | 163WM0102X Registered Nurse, Maternal Newborn (Licence: PA MW010076) |
| Enumeration Date | 2005-10-04 |
| Last Update Date | 2021-04-12 |