| NPI | 1699134569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WA RN60384376) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: ID N-46854) |
| Enumeration Date | 2016-02-19 |
| Last Update Date | 2016-02-19 |