| NPI | 1194762641 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: WA RN00068824) | 
| Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: WA AP0006832) | 
| Enumeration Date | 2006-06-01 | 
| Last Update Date | 2007-07-08 |