| NPI | 1528793007 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OR 202110746RN) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN61283884) |
| Enumeration Date | 2022-07-19 |
| Last Update Date | 2023-01-30 |