| NPI | 1306022140 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OR 200341037RN) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00162712) |
| Enumeration Date | 2008-01-10 |
| Last Update Date | 2008-01-10 |