| NPI | 1497278386 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WA 60744969) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 201706963RN) |
| Enumeration Date | 2017-07-21 |
| Last Update Date | 2022-07-21 |