| NPI | 1811432529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: AZ RN176984) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: AZ RN176984) |
| 171W00000X Contractor (Licence: AZ RN176984) | |
| 172V00000X Community Health Worker (Licence: AZ RN176984) | |
| 174H00000X Health Educator (Licence: AZ RN176984) | |
| Enumeration Date | 2017-01-04 |
| Last Update Date | 2020-01-17 |