| NPI | 1396178992 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 163WC1500X Registered Nurse, Community Health (Licence: AZ RN111928)  | 
| Additional Taxonomies | 163WC0400X Registered Nurse, Case Management (Licence: NY 246661-1)  | 
| 163WG0000X Registered Nurse, General Practice (Licence: AZ RN111928)  | |
| 163WH0200X Registered Nurse, Home Health (Licence: AZ RN111928)  | |
| Enumeration Date | 2013-08-19 | 
| Last Update Date | 2013-08-19 |