| NPI | 1154917151 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WA RN61218018) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: ME RN73945) |
| Enumeration Date | 2020-12-15 |
| Last Update Date | 2025-05-19 |