| NPI | 1164700464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: WA RN60092547) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60092547) |
| 163W00000X Registered Nurse (Licence: OR 200743173RN) | |
| Enumeration Date | 2011-08-03 |
| Last Update Date | 2011-08-03 |