| NPI | 1295021194 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: AZ RN189398) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: AZ LP046337) |
| 171W00000X Contractor (Licence: AZ BH5661) | |
| Enumeration Date | 2011-06-20 |
| Last Update Date | 2021-01-08 |