| NPI | 1659191286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WA RN61233872) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DE L1-0056239) |
| Enumeration Date | 2024-10-17 |
| Last Update Date | 2024-10-17 |