| NPI | 1104692011 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WA2000X Registered Nurse, Administrator (Licence: WY 35312) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: WY 35312) |
| Enumeration Date | 2023-12-01 |
| Last Update Date | 2023-12-01 |