| NPI | 1316585961 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WA RN60323465) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: ID 26746) |
| Enumeration Date | 2019-12-13 |
| Last Update Date | 2019-12-13 |