| NPI | 1295070498 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: WA 00042462)  | 
| Additional Taxonomies | 163WC0400X Registered Nurse, Case Management (Licence: WA 00105931)  | 
| Enumeration Date | 2012-11-29 | 
| Last Update Date | 2012-11-29 |