| NPI | 1982032298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: AZ RN206230) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: AZ LP047784) |
| Enumeration Date | 2013-10-23 |
| Last Update Date | 2019-11-03 |