| NPI | 1861821423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WA RN00131330) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN001311330) |
| Enumeration Date | 2013-11-04 |
| Last Update Date | 2013-11-04 |