| NPI | 1790336238 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WA 00159233) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 643519) |
| 163W00000X Registered Nurse (Licence: OR 200340915) | |
| Enumeration Date | 2019-09-26 |
| Last Update Date | 2019-09-26 |