| NPI | 1114565876 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WA2000X Registered Nurse, Administrator (Licence: WA rn00142300) |
| Additional Taxonomies | 163WI0500X Registered Nurse, Infusion Therapy (Licence: WA rn00142300) |
| Enumeration Date | 2019-12-12 |
| Last Update Date | 2019-12-12 |