| NPI | 1104888064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP1700X Registered Nurse Perinatal (Licence: WA RN00075280) |
| Additional Taxonomies | 163WP2201X Registered Nurse Ambulatory Care (Licence: WA AP30004286) |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2007-07-08 |