| NPI | 1508635426 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OR 10016971) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ 269490) |
| 163W00000X Registered Nurse (Licence: WA RN61541077) | |
| Enumeration Date | 2023-12-20 |
| Last Update Date | 2024-04-12 |