| NPI | 1104431659 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WA RN60552547) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: WA RN60552547) |
| Enumeration Date | 2020-09-11 |
| Last Update Date | 2020-09-11 |