| NPI | 1235413907 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WS0200X Registered Nurse, School (Licence: AZ RN166451) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN166451) |
| Enumeration Date | 2011-09-29 |
| Last Update Date | 2011-09-29 |