| NPI | 1467752543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 646308) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: AZ LP043594) |
| Enumeration Date | 2010-10-24 |
| Last Update Date | 2010-10-24 |