NPI | 1457690190 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: WA RN60012454) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: WA RN60012454) |
Enumeration Date | 2013-01-31 |
Last Update Date | 2017-10-26 |