| NPI | 1063773869 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: VA 0001188411) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA #RN60277803) |
| Enumeration Date | 2012-06-07 |
| Last Update Date | 2012-06-07 |