| NPI | 1548663511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: AZ RN174124) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: AZ LP046889) |
| Enumeration Date | 2014-10-03 |
| Last Update Date | 2014-10-03 |