| NPI | 1275165029 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WA rn00127818) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: ID 28885) |
| Enumeration Date | 2020-02-10 |
| Last Update Date | 2020-02-10 |