| NPI | 1700501509 |
|---|---|
| Former Name | ERIKA RAE NIETO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WA2000X Registered Nurse, Administrator (Licence: WA RN61199822) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN61199822) |
| Enumeration Date | 2022-10-05 |
| Last Update Date | 2023-04-10 |