| NPI | 1841518891 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: AZ RN041360) | 
| Additional Taxonomies | 163WW0101X Registered Nurse, Women's Health Care, Ambulatory (Licence: AZ RN041360) | 
| Enumeration Date | 2010-05-13 | 
| Last Update Date | 2010-05-13 |