| NPI | 1164958708 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WC1500X Registered Nurse, Community Health (Licence: WA RN00072887) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN 00072887) |
| Enumeration Date | 2017-05-02 |
| Last Update Date | 2017-05-03 |