| NPI | 1891377982 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WA 00164824) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 086000352RN) |
| Enumeration Date | 2021-04-27 |
| Last Update Date | 2021-04-27 |