| NPI | 1194026500 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: ID N-31642)  | 
| Additional Taxonomies | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: WA RN00142726)  | 
| Enumeration Date | 2010-11-16 | 
| Last Update Date | 2011-03-29 |