| NPI | 1942561972 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0200X Registered Nurse, Pediatrics (Licence: WI 175654-030) |
| Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: WI 175654-030) |
| Enumeration Date | 2012-06-06 |
| Last Update Date | 2012-06-06 |