| NPI | 1972215770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NV RN87796) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60653814) |
| Enumeration Date | 2022-12-23 |
| Last Update Date | 2022-12-23 |