| NPI | 1699934349 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: AZ rn137121) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: AZ LP041093) |
| Enumeration Date | 2008-06-07 |
| Last Update Date | 2010-01-04 |