| NPI | 1912786872 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WA 61391927) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 794710) |
| Enumeration Date | 2023-09-28 |
| Last Update Date | 2023-09-28 |