| NPI | 1366970592 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: WA RN00116792) | 
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00116792) | 
| 163WC1500X Registered Nurse, Community Health (Licence: WA RN00116792) | |
| Enumeration Date | 2017-06-01 | 
| Last Update Date | 2021-08-27 |