| NPI | 1053550632 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: AZ 108668) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: AZ 108668) |
| 163WE0003X Registered Nurse, Emergency (Licence: AZ 108668) | |
| 163WP2201X Registered Nurse, Ambulatory Care (Licence: AZ 108668) | |
| Enumeration Date | 2009-02-05 |
| Last Update Date | 2009-02-05 |