| NPI | 1720956493 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WA RN61046284) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: ID 63921) |
| Enumeration Date | 2025-10-25 |
| Last Update Date | 2025-10-25 |