| NPI | 1730616491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: AZ 204996) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 420416) |
| 163W00000X Registered Nurse (Licence: FL 9443691) | |
| 163W00000X Registered Nurse (Licence: AK 121478) | |
| Enumeration Date | 2017-05-12 |
| Last Update Date | 2017-05-12 |