| NPI | 1982905188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0200X Registered Nurse, Pediatrics (Licence: OR 082021637rn) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: WA rn00160203) |
| Enumeration Date | 2010-11-04 |
| Last Update Date | 2010-11-04 |