| NPI | 1609312966 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OR 201606908RN) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA 60699295) |
| Enumeration Date | 2017-01-11 |
| Last Update Date | 2017-01-11 |