| NPI | 1902297187 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: AZ RN161128) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 201240700RN) |
| 163W00000X Registered Nurse (Licence: CA RN820090) | |
| 163W00000X Registered Nurse (Licence: FL RN9350530) | |
| Enumeration Date | 2015-02-10 |
| Last Update Date | 2015-02-10 |