| NPI | 1851693246 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OR 086006605RN) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00086719) |
| Enumeration Date | 2010-11-17 |
| Last Update Date | 2012-09-17 |