| NPI | 1497002653 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WA 60092594) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 201040260RN) |
| Enumeration Date | 2012-08-07 |
| Last Update Date | 2012-08-07 |