| NPI | 1861112039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OR 202212479RN) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN61349736) |
| Enumeration Date | 2022-08-29 |
| Last Update Date | 2022-08-29 |