| NPI | 1083321392 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WA RN00169612) |
| Additional Taxonomies | 163WI0500X Registered Nurse, Infusion Therapy (Licence: WA RN00169612) |
| Enumeration Date | 2022-11-04 |
| Last Update Date | 2023-04-19 |