| NPI | 1447857644 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WA RN60479717) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN159029) |
| Enumeration Date | 2020-10-01 |
| Last Update Date | 2020-10-01 |