| NPI | 1215619341 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: VA 1220929) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: WA 61171614) |
| 163WP2201X Registered Nurse, Ambulatory Care (Licence: VA 1220929) | |
| Enumeration Date | 2023-08-07 |
| Last Update Date | 2023-08-07 |