| NPI | 1316839970 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WA RN61572298) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: WA RN61572298) |
| Enumeration Date | 2025-07-17 |
| Last Update Date | 2025-07-17 |