| NPI | 1255192001 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP2201X Registered Nurse Ambulatory Care (Licence: WA RN60689385) |
| Additional Taxonomies | 163WA0400X Registered Nurse Addiction (Substance Use Disorder) (Licence: WA RN60689385) |
| Enumeration Date | 2024-01-18 |
| Last Update Date | 2024-01-18 |