| NPI | 1205402070 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OR 202005157RN) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN61095170) |
| 163W00000X Registered Nurse (Licence: ID 64249) | |
| Enumeration Date | 2021-06-01 |
| Last Update Date | 2021-06-01 |