| NPI | 1487264636 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WM0705X Registered Nurse, Medical-Surgical (Licence: WA RN60600785) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: NV 820151) |
| Enumeration Date | 2020-08-03 |
| Last Update Date | 2020-08-03 |