| NPI | 1093468381 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 163WC1500X Registered Nurse, Community Health (Licence: WA RN61103437)  | 
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN61103437)  | 
| Enumeration Date | 2022-01-27 | 
| Last Update Date | 2022-01-27 |