| NPI | 1194906131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WC1500X Registered Nurse, Community Health (Licence: AZ RN135514) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: AZ RN135514) |
| Enumeration Date | 2007-11-19 |
| Last Update Date | 2008-01-02 |