| NPI | 1639365042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WE0003X Registered Nurse, Emergency (Licence: WA RN00173305) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 134279-030) |
| Enumeration Date | 2007-09-19 |
| Last Update Date | 2007-09-19 |