| NPI | 1407462088 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WA 61105768) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ 247434) |
| Enumeration Date | 2020-09-19 |
| Last Update Date | 2020-09-19 |