| NPI | 1669153888 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: WA 60105913) |
| 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: WA 60105913) | |
| Enumeration Date | 2023-07-31 |
| Last Update Date | 2023-08-02 |