| NPI | 1053779801 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364S00000X Clinical Nurse Specialist (Licence: OR 201600526CNS-PP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60678135) |
| 163W00000X Registered Nurse (Licence: OR 201509298RN) | |
| 163W00000X Registered Nurse (Licence: IN 28197083A) | |
| 364S00000X Clinical Nurse Specialist (Licence: WA AP60678136) | |
| Enumeration Date | 2016-02-08 |
| Last Update Date | 2024-10-31 |