| NPI | 1679701999 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP2201X Registered Nurse, Ambulatory Care (Licence: TX 727626) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN131410) |
| 163W00000X Registered Nurse (Licence: CO 163125) | |
| 163W00000X Registered Nurse (Licence: CA 841282) | |
| Enumeration Date | 2009-06-25 |
| Last Update Date | 2009-06-25 |