| NPI | 1659756351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OR 201043557RN) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60215930) |
| Enumeration Date | 2015-07-22 |
| Last Update Date | 2015-07-22 |