| NPI | 1073958401 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WA 60692963) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN122297) |
| Enumeration Date | 2013-04-29 |
| Last Update Date | 2022-02-17 |