| NPI | 1841321122 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WA RN00114089) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 200541072RN) |
| 163W00000X Registered Nurse (Licence: MN R 107524-1) | |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2007-07-08 |