| NPI | 1902505290 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WA2000X Registered Nurse, Administrator (Licence: WI 145533-30) |
| Additional Taxonomies | 163WA2000X Registered Nurse, Administrator (Licence: WI 145533) |
| Enumeration Date | 2023-02-27 |
| Last Update Date | 2023-02-27 |