| NPI | 1649684358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OR 200842098RN) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00167689) |
| Enumeration Date | 2014-06-20 |
| Last Update Date | 2014-07-01 |