| NPI | 1407488067 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP2201X Registered Nurse, Ambulatory Care (Licence: WA RN60249176) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-139923) |
| Enumeration Date | 2020-02-11 |
| Last Update Date | 2020-02-11 |