| NPI | 1245988393 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WA RN60924524) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9466514) |
| Enumeration Date | 2022-03-16 |
| Last Update Date | 2022-03-16 |