| NPI | 1144517889 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WA 57534) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AK 9683) |
| Enumeration Date | 2011-07-01 |
| Last Update Date | 2011-07-01 |