| NPI | 1538607650 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: WA LP60428152) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: WA 60893917) |
| Enumeration Date | 2017-02-09 |
| Last Update Date | 2018-11-20 |