| NPI | 1700544160 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: AZ RN119105) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ B119105) |
| Enumeration Date | 2021-12-02 |
| Last Update Date | 2021-12-02 |