| NPI | 1871841668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: AZ RN184169) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: AZ LP043138) |
| Enumeration Date | 2012-08-27 |
| Last Update Date | 2014-09-17 |