| NPI | 1194158212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WA RN60118846) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 200742782RN) |
| Enumeration Date | 2013-08-12 |
| Last Update Date | 2013-08-12 |