| NPI | 1073986824 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 95033496) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN153410) |
| Enumeration Date | 2015-11-02 |
| Last Update Date | 2015-11-02 |