| NPI | 1225360480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OR 097000395RN) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00165001) |
| Enumeration Date | 2010-02-12 |
| Last Update Date | 2010-02-12 |