| NPI | 1972857837 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WA RN 00064010) |
| Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: WA RN00064010) |
| Enumeration Date | 2012-10-30 |
| Last Update Date | 2012-10-30 |