| NPI | 1174926463 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OR 202201288) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA 61557466) |
| Enumeration Date | 2014-10-01 |
| Last Update Date | 2024-08-01 |