| NPI | 1336560069 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OR 200940205) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA 60266438) |
| Enumeration Date | 2013-12-24 |
| Last Update Date | 2013-12-24 |