| NPI | 1801636816 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WA RN.61481674) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: WA RN.61481674) |
| Enumeration Date | 2024-05-28 |
| Last Update Date | 2025-01-05 |