| NPI | 1962549337 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WA RN60081396) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR12818700) |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2009-06-02 |