| NPI | 1811225659 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: AZ RN156254) |
| Additional Taxonomies | 163WH0200X Registered Nurse Home Health (Licence: AZ RN156254) |
| 163WH1000X Registered Nurse Hospice (Licence: AZ RN156254) | |
| 163WI0500X Registered Nurse Infusion Therapy (Licence: AZ RN156254) | |
| 163WW0000X Registered Nurse Wound Care (Licence: AZ RN156254) | |
| Enumeration Date | 2009-12-04 |
| Last Update Date | 2009-12-04 |