| NPI | 1912652991 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WA RN61155232) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: ID 31349) |
| Enumeration Date | 2022-02-17 |
| Last Update Date | 2022-02-17 |