| NPI | 1275994584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OR 201504016) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 847587) |
| 163W00000X Registered Nurse (Licence: WA 604522076) | |
| Enumeration Date | 2016-03-14 |
| Last Update Date | 2016-03-14 |