| NPI | 1720443971 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: AZ RN069410) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AK 104217) |
| Enumeration Date | 2015-12-15 |
| Last Update Date | 2015-12-15 |