| NPI | 1356008718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WA RN61109451) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MS 913747) |
| Enumeration Date | 2021-11-19 |
| Last Update Date | 2021-11-19 |