| NPI | 1265024327 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OR 201600061RN) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00141186) |
| Enumeration Date | 2021-02-09 |
| Last Update Date | 2021-02-09 |