| NPI | 1720438799 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WA RN60492253) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 198973) |
| Enumeration Date | 2016-06-20 |
| Last Update Date | 2016-06-20 |