| NPI | 1922656040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 376G00000X Nursing Home Administrator (Licence: AZ ALM-011711) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: AZ RN177767) |
| Enumeration Date | 2019-09-02 |
| Last Update Date | 2019-09-02 |