| NPI | 1306820204 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: VA 0001296040) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: WA 00004635) |
| Enumeration Date | 2005-12-04 |
| Last Update Date | 2021-11-19 |