| NPI | 1104983816 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TX 752583) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00160710) |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2010-09-24 |