| NPI | 1700334968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OR 201406961RN) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60816613) |
| Enumeration Date | 2016-09-16 |
| Last Update Date | 2022-09-30 |