| NPI | 1154571644 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: AZ 139252) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: LA 105896) |
| Enumeration Date | 2008-09-22 |
| Last Update Date | 2008-09-22 |