| NPI | 1740586270 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OR 201243822RN) | 
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA 60332903) | 
| Enumeration Date | 2011-02-01 | 
| Last Update Date | 2013-04-17 |