| NPI | 1033575170 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OR 201504610RN) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60597523) |
| Enumeration Date | 2016-01-05 |
| Last Update Date | 2016-01-05 |