| NPI | 1699247908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WA RN61044500) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 201609694RN) |
| Enumeration Date | 2018-12-27 |
| Last Update Date | 2020-05-29 |