| NPI | 1174942767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: AZ RN 177047) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN 346411) |
| Enumeration Date | 2014-04-10 |
| Last Update Date | 2014-09-04 |