NPI | 1700592029 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: WA RN00158496) |
Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: WA RN00158496) |
Enumeration Date | 2023-01-30 |
Last Update Date | 2024-05-28 |