| NPI | 1740452713 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171000000X Military Health Care Provider |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: WA LP00056089) |
| Enumeration Date | 2008-03-29 |
| Last Update Date | 2008-03-29 |