| NPI | 1629260260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: AZ RN067165) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ AP0283) |
| Enumeration Date | 2007-08-17 |
| Last Update Date | 2013-09-23 |