| NPI | 1437613494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: AZ RN193691) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 201600657RN) |
| Enumeration Date | 2019-01-24 |
| Last Update Date | 2019-01-24 |