| NPI | 1609349257 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: VA 0001261156) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN651475) |
| 163W00000X Registered Nurse (Licence: WA RN60645264) | |
| 163W00000X Registered Nurse (Licence: CA 95118566) | |
| Enumeration Date | 2019-01-07 |
| Last Update Date | 2019-01-07 |