| NPI | 1487905402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: AZ 188186) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 741828) |
| Enumeration Date | 2012-10-01 |
| Last Update Date | 2015-08-25 |