| NPI | 1508224163 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WW0101X Registered Nurse, Women's Health Care, Ambulatory (Licence: AZ RN195738) |
| Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: HI RN-63948) |
| Enumeration Date | 2016-02-10 |
| Last Update Date | 2016-02-10 |