| NPI | 1912103359 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH 35700) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: TN RN0000156343) |
| 163W00000X Registered Nurse (Licence: NC 2453) | |
| Enumeration Date | 2007-06-22 |
| Last Update Date | 2013-12-18 |