| NPI | 1861711707 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP2201X Registered Nurse, Ambulatory Care (Licence: AZ RN070922) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN070922) |
| Enumeration Date | 2010-05-18 |
| Last Update Date | 2015-03-18 |