| NPI | 1427451533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OK R0112339) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00165800) |
| Enumeration Date | 2014-10-02 |
| Last Update Date | 2014-10-02 |