| NPI | 1952636458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: AZ RN212041) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NM RN69442) |
| Enumeration Date | 2009-10-16 |
| Last Update Date | 2020-06-08 |