| NPI | 1275970196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: AZ RN147446) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9233903) |
| Enumeration Date | 2013-06-01 |
| Last Update Date | 2013-06-01 |