| NPI | 1821615212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WA 61074488) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN61074488) |
| Enumeration Date | 2020-07-01 |
| Last Update Date | 2020-07-01 |