| NPI | 1962085175 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WM0705X Registered Nurse, Medical-Surgical (Licence: WA 60856987) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: NV 828917) |
| 163WM0705X Registered Nurse, Medical-Surgical (Licence: AZ 218536) | |
| 163WM0705X Registered Nurse, Medical-Surgical (Licence: HI 99434) | |
| Enumeration Date | 2021-05-04 |
| Last Update Date | 2021-05-04 |