| NPI | 1275153017 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: WA RN60752039)  | 
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60752039)  | 
| Enumeration Date | 2020-04-22 | 
| Last Update Date | 2020-04-22 |