| NPI | 1083915540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: AL 1-194654) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00160717) |
| Enumeration Date | 2010-11-15 |
| Last Update Date | 2024-11-04 |