| NPI | 1659035244 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: ID 67712) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA 61230781) |
| Enumeration Date | 2021-10-28 |
| Last Update Date | 2021-10-28 |