| NPI | 1366844896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: AZ 183389) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95030202) |
| Enumeration Date | 2014-09-16 |
| Last Update Date | 2014-09-16 |