| NPI | 1972933414 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: VA 0024168887) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: PA RN655360) |
| 163W00000X Registered Nurse (Licence: VA 001201944) | |
| Enumeration Date | 2013-11-20 |
| Last Update Date | 2014-01-13 |