| NPI | 1952653370 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OR 201242896RN) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 201242986RN) |
| Enumeration Date | 2012-10-09 |
| Last Update Date | 2012-10-09 |