| NPI | 1992404701 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WA RN61057649) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: ID 71819) |
| Enumeration Date | 2023-03-01 |
| Last Update Date | 2023-03-01 |