| NPI | 1760869150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: AZ RN166607) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: HI RN-69489) |
| Enumeration Date | 2015-05-05 |
| Last Update Date | 2015-05-05 |