| NPI | 1942413117 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WA RN00149963) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WY 22359) |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2026-03-13 |