| NPI | 1053963322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OK R0104837) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60981551) |
| Enumeration Date | 2019-07-16 |
| Last Update Date | 2019-07-16 |