| NPI | 1114463403 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WA RN61050233) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: WA LP60687182) |
| Enumeration Date | 2017-01-11 |
| Last Update Date | 2023-02-21 |