| NPI | 1508228008 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WA RN60325700) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN195335) |
| Enumeration Date | 2016-03-23 |
| Last Update Date | 2016-03-23 |