| NPI | 1558346460 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: AZ RN120819) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: HI RN-42371) |
| Enumeration Date | 2005-12-13 |
| Last Update Date | 2025-09-11 |