| NPI | 1295890713 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: AZ RN123849) |
| Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: AZ RN123849) |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2007-07-08 |