| NPI | 1134464472 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: AZ 178437) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: AZ lp047679) |
| Enumeration Date | 2012-11-27 |
| Last Update Date | 2013-08-05 |