| NPI | 1063864973 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WA WA RN 00172941) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA CA RN 825321) |
| Enumeration Date | 2016-07-05 |
| Last Update Date | 2016-07-05 |