| NPI | 1275802118 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 163WA2000X Registered Nurse, Administrator (Licence: OR 200840001RN) | 
| Additional Taxonomies | 163WA2000X Registered Nurse, Administrator (Licence: WA RN60020058) | 
| Enumeration Date | 2011-12-21 | 
| Last Update Date | 2011-12-21 |