| NPI | 1093006264 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OR 200941767rn) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60117895) |
| Enumeration Date | 2011-04-22 |
| Last Update Date | 2011-04-22 |