| NPI | 1710769906 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OR 201407816RN) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN61255748) |
| Enumeration Date | 2023-10-20 |
| Last Update Date | 2023-12-06 |