| NPI | 1932351350 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: AZ rn049185)  | 
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: AZ rn049185)  | 
| Enumeration Date | 2008-10-16 | 
| Last Update Date | 2008-10-16 |