| NPI | 1659719128 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WA RN00144881) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN162930) |
| Enumeration Date | 2013-06-06 |
| Last Update Date | 2013-06-06 |