| NPI | 1487080834 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OR 092000113RN) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00145336) |
| Enumeration Date | 2013-09-17 |
| Last Update Date | 2013-09-17 |