| NPI | 1528388402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: AZ RN146184) |
| Additional Taxonomies | 163WW0101X Registered Nurse, Women's Health Care, Ambulatory (Licence: AZ RN146184) |
| Enumeration Date | 2010-06-02 |
| Last Update Date | 2010-06-02 |