| NPI | 1023754983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WA RN61358334) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: WA LP60765490) |
| Enumeration Date | 2022-05-12 |
| Last Update Date | 2023-05-31 |