| NPI | 1811451198 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: AZ RN155272) |
| Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: AZ RN155272) |
| Enumeration Date | 2019-01-30 |
| Last Update Date | 2019-01-30 |