| NPI | 1417258328 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: AZ RN186931) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: AZ 1000015783) |
| Enumeration Date | 2010-11-09 |
| Last Update Date | 2014-09-23 |