| NPI | 1013563501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OR 10030022) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA 61592455) |
| Enumeration Date | 2019-08-12 |
| Last Update Date | 2024-09-12 |