| NPI | 1689876914 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: AZ RN078413) |
| Additional Taxonomies | 163WL0100X Registered Nurse, Lactation Consultant (Licence: AZ RN078413) |
| 163WX1100X Registered Nurse, Ophthalmic (Licence: AZ RN078413) | |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2007-07-08 |