| NPI | 1972979508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WA2000X Registered Nurse, Administrator (Licence: AZ RN092746) |
| Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: AZ RN092746) |
| Enumeration Date | 2015-08-18 |
| Last Update Date | 2018-02-28 |