| NPI | 1609203975 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: AZ RN178247) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 516591) |
| Enumeration Date | 2013-10-02 |
| Last Update Date | 2013-10-02 |