| NPI | 1851822555 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OR 201608176RN) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60702554) |
| Enumeration Date | 2017-03-23 |
| Last Update Date | 2017-03-27 |