| NPI | 1205371333 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OR 093000168RN) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00121483) |
| Enumeration Date | 2016-12-28 |
| Last Update Date | 2016-12-28 |