| NPI | 1104373810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OR 201507481RN) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60575189) |
| Enumeration Date | 2016-09-10 |
| Last Update Date | 2016-09-10 |