| NPI | 1164676755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WG0000X Registered Nurse, General Practice (Licence: AZ RN103324) |
| Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: AZ RN103324) |
| Enumeration Date | 2008-11-09 |
| Last Update Date | 2008-11-09 |