| NPI | 1477948628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OR 200541558RN) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MT NUR-RN-LIC-91351) |
| 163W00000X Registered Nurse (Licence: WA RN60306187) | |
| Enumeration Date | 2015-04-04 |
| Last Update Date | 2022-02-14 |