| NPI | 1912202243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171000000X Military Health Care Provider |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN 00158121) |
| Enumeration Date | 2011-01-18 |
| Last Update Date | 2024-02-06 |