| NPI | 1841625993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WA RN00093629) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 087000164RN) |
| Enumeration Date | 2013-09-09 |
| Last Update Date | 2014-02-10 |