| NPI | 1538755186 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: VA 0001284739) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 202010955RN) |
| Enumeration Date | 2020-12-17 |
| Last Update Date | 2020-12-17 |