| NPI | 1659196764 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WA2000X Registered Nurse, Administrator (Licence: ND R28566) |
| Additional Taxonomies | 163WA2000X Registered Nurse, Administrator (Licence: MN 1668852) |
| Enumeration Date | 2024-11-22 |
| Last Update Date | 2024-11-22 |