| NPI | 1205361813 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WA RN60263536) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: WA RN60263536) |
| 174400000X Specialist (Licence: WA RN60263536) | |
| Enumeration Date | 2017-04-21 |
| Last Update Date | 2024-03-20 |