| NPI | 1578231973 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OR 093007216RN) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: ID 59683) |
| 163W00000X Registered Nurse (Licence: WA RN00071835) | |
| Enumeration Date | 2021-08-31 |
| Last Update Date | 2021-08-31 |