| NPI | 1689125353 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 163WA2000X Registered Nurse, Administrator (Licence: OR 000037543RN)  | 
| Additional Taxonomies | 163WA2000X Registered Nurse, Administrator (Licence: CA 540540)  | 
| Enumeration Date | 2016-10-18 | 
| Last Update Date | 2016-10-18 |