NPI | 1104015676 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: WA RN00105132) |
Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: WA RN00105132) |
Enumeration Date | 2007-10-19 |
Last Update Date | 2007-10-19 |