| NPI | 1134699614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WA RN60427259) |
| Additional Taxonomies | 163WH0500X Registered Nurse Hemodialysis (Licence: WA RN60427259) |
| Enumeration Date | 2018-11-28 |
| Last Update Date | 2018-11-28 |