| NPI | 1083743124 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OR 090007383RN) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00113667) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2007-07-08 |