| NPI | 1659136612 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OR 200940670) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA 00133042) |
| Enumeration Date | 2024-02-19 |
| Last Update Date | 2024-02-19 |