| NPI | 1306370119 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WA RN60285033) |
| Additional Taxonomies | 146N00000X Emergency Medical Technician, Basic (Licence: E3227121) |
| Enumeration Date | 2017-04-18 |
| Last Update Date | 2017-04-18 |