| NPI | 1174923627 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364S00000X Clinical Nurse Specialist (Licence: OR 200670017CNS) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA 00110808) |
| 163W00000X Registered Nurse (Licence: OR 099006034RN) | |
| Enumeration Date | 2014-09-02 |
| Last Update Date | 2014-09-02 |