| NPI | 1043752777 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP2201X Registered Nurse Ambulatory Care (Licence: OR 200141345RN) |
| Additional Taxonomies | 163WP2201X Registered Nurse Ambulatory Care (Licence: WA RN 60098500) |
| Enumeration Date | 2016-11-11 |
| Last Update Date | 2016-11-11 |