| NPI | 1194097121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OR 200942683RN) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN049941) |
| Enumeration Date | 2012-02-07 |
| Last Update Date | 2012-02-07 |