| NPI | 1891230413 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: AZ RN147803) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 390685) |
| Enumeration Date | 2017-01-05 |
| Last Update Date | 2017-01-05 |