| NPI | 1649511460 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: AZ RN173605) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 831498) |
| Enumeration Date | 2013-03-04 |
| Last Update Date | 2013-03-04 |