| NPI | 1558808709 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WA RN60693306) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28222828A) |
| Enumeration Date | 2017-01-26 |
| Last Update Date | 2017-01-26 |