| NPI | 1396574448 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WA RN61068840) |
| Additional Taxonomies | 163WH0200X Registered Nurse Home Health (Licence: WA RN61068840) |
| Enumeration Date | 2024-07-29 |
| Last Update Date | 2024-08-01 |