| NPI | 1962052746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: AZ 204633) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: AZ 204633) |
| 163WW0101X Registered Nurse, Women's Health Care, Ambulatory (Licence: AZ 204633) | |
| Enumeration Date | 2019-09-13 |
| Last Update Date | 2019-09-13 |